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You are here: Home / Study Guides / Manual of the Medical Department (MANMED), o May 12, 2008 – MANMED Change 130, Revises Chapter 15, Article 15-22, Chapter 15: Medical Examinations. Department of the Navy 15-22 Members on the Temporary Disability Retired List · 15-23 Naval Academy Midshipmen, The Manual of the Medical Department is issued in accordance with United States Navy Regulations. It contains detailed instructions and information pertaining 22 May 2018. To: Holders of the Manual of the Medical Department. 1. This Change. ated in Chapter 15, Section III (General Standards) are. Navy Department. Bureau of Medicine and Surgery. Section VIII . IMMUNIZATION C CHAPTER 22. GENERAL PROVISIONS CONCERNING PREVENTIVE MEDICINE Section IX . Navy Department. Bureau of Medicine and Surgery, United States. Navy. Medical Department. for which there is immediate demand , in which case the purchaseManual of the Medical Department (MANMED), NAVMED P-117 May 22, 2018 - MANMED Change 164 (Revises MANMED Chapter 15, articles 15-102, 15-103, 15-105, NAVMED P-117, MANUAL OF THE MEDICAL DEPARTMENT, CHANGE 141, CHAPTER 22,PREVENTIVE MEDICINE AND OCCUPATIONAL HEALTH, 6/8/2012, MANMED CHANGE 141.pdf.