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SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR)

OPNAV 5239/14 (Rev 9/2011)REPLACES (Rev 7/2008), WHICH IS OBSOLETEPage 1 of 4 FOR OFFICIAL USE ONLY WHEN FILLEDE-MAIL SUBMIT FOR OFFICIAL USE ONLY WHEN FILLED SYSTEM AUTHORIZATION ACCESS REQUEST NAVY (SAAR-N)PRIVACY ACT STATEMENTAUTHORITY: Executive Order 10450, Public Law 99-474, the Computer Fraud and Abuse Act; and SYSTEM of Records Notice: NM0500-2 Program Management and Locator SYSTEM . PRINCIPAL PURPOSE: To record user identification for the purpose of verifying the identities of individuals requesting ACCESS to Department of Defense (DOD) systems and information. ROUNTINE USES: The collection of data is used by Navy Personnel Supervisors/Managers, Administration Office, Security Managers, Information Assurance Managers, and SYSTEM Administration with a need to know.

the PHA, Mental Health Assessment (MHA) Training Certification, and HIPAA Training below. Requests will be rejected without this confirmation. It is the responsibility of the Supervisor to maintain the training requirements. For access, Supervisor must be a Department Head or someone with By direction authority. Please Select Role Type:

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Transcription of SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR)

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Department of Defense Periodic Health Assessment (DoD PHA ...

data.nmcphc.med.navy.mil

CPT Code: 96160- Prev Med Administration of Health Risk Questionnaire E/M Code: 99441(5-10min of medical discussion) 99442(11-20min of medical discussion) 99443( 21-30min of med discussion) Example 2: In-Clinic MHA/PHA Patient completes PHA self-assessment online, but requests a face-to-face MHA/PHA appointment.

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data.nmcphc.med.navy.mil

usn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-phahelpdesk@mail.mil. Step 7 Once the request is confirmed, NMCPHC will email you confirmation of additional access. PHA Help Desk: usn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-phahelpdesk@mail.mil Phone number 757 953 0737 DSN 377

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Periodic Health Assessment

data.nmcphc.med.navy.mil

usn.hampton-roads.navmcpubhlthcenpors. list.nmcphc-phahelpdesk@mail.mil Phone number 757 953 0737 DSN 377 Requesting Additional Access To request access to PHA as a Record Re-viewer, MHA Provider, or Health Care Pro-vider (HPC), complete the OPNAV 5239/14 (SAAR) located on the PHA homepage. Block 15-16 of the SAAR forms should be

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