Standard Form 535, or SF-535, is a multi-page document issued by the U.S. Federal Government agency that houses information pertinent to awarding contracts for goods and services to eligible vendors. The purpose of form SF-535 is to standardize business operations between government agencies and their suppliers, both domestic and foreign. For those who are unfamiliar with the content of SF-535, it may appear intimidating at first glance; however, understanding this key form will help ensure a seamless transaction process for all parties involved. This comprehensive blog post aims to explain the various elements of Standard Form 535 in order to better equip readers with an understanding on how it can be used when interfacing with federal agencies.
| Question | Answer |
|---|---|
| Form Name | Standard Form 535 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | form 535, CFR, mongolism, serology |
CLINICAL RECORD |
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NEWBORN |
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MOTHER'S LAST |
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AGE |
RACE |
REGISTER NO. |
FATHER'S LAST |
AGE |
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EXPECTED DATE OF |
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MOTHER'S HEALTH PRIOR TO PREGNANCY |
ABNORMALITIES OF PREVIOUS PREGNANCIES |
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CONFINEMENT |
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GRAVIDA |
PARA |
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STILLBIRTHS |
ABORTIONS |
LIVING CHILDREN |
FATHER'S RH |
MOTHER'S |
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ANTI |
RH |
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PAST TRANSFUSION HISTORY |
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BLOOD GROUP |
RH |
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PRENATAL CARE BY (Name of Physician) |
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LAST MENSTRUAL |
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VIT. K |
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COMPLICATIONS OF DELIVERY |
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PERIOD |
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PRENATAL COURSE: (Include illnesses, contacts with diseases. Details under remarks) |
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ANALGESIA (State whether scopolamine, barbiturate or opiate; dosage and hours of administration) |
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ANESTHESIA (Length of adminis- |
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tration, kind, and amount) |
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DATE OF BIRTH |
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TIME |
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METHOD OF DELIVERY |
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LENGTH OF FIRST STAGE |
LENGTH OF SECOND STAGE |
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INFANT'S CONDITION AT BIRTH |
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HRS. |
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MIN. |
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HRS. |
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MIN. |
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CHARACTER OF CRY |
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RESUSCITATION USED (Type) |
SUCTION USED (Type) |
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RESPIRATORY STIMULANT USED (Type) |
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RESPIRATION ESTABLISHED IN |
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RESPIRATION NORMAL IN |
OXYGEN IN DELIVERY ROOM |
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DURATION |
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EYE PROPHYLAXIS (State type) |
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MIN. |
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MIN. |
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YES |
NO |
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HRS. |
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REMARKS (Summary of complications, etc., of pregnancy and birth, and nature of therapy)
SIGNATURE OF OBSTETRICIANDATE
INITIAL |
To be completed within |
Note especially sutures, hemorrhage, clavicles, cephalhematoma, fontanelles, cleft palate, heart rate |
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PHYSICAL |
and rhythm, anus, skin blemishes, jaundice, sternocleidomastoid, umbilicus, hernia, clubfeet, fingers, tumors, mongolism, character of cry, other |
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EXAMINATION deformities. Use progress sheet for abnormalities, description, and elaboration. |
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GEN. APPEARANCE |
FACIES |
BIRTH WEIGHT |
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TEMPERATURE |
CHARACTER OF CRY |
MEASUREMENTS: |
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LENGTH |
HEAD |
CHEST |
ABDOMEN |
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BREATHING |
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CYANOSIS |
SKIN |
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VERNIX |
SUBCUT. TISSUE |
PALLOR |
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ICTERUS |
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HEAD |
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FONTANELLES |
SUTURES |
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EYES |
EARS |
NOSE |
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MOUTH |
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THROAT |
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NECK |
CHEST |
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LUNGS |
HEART |
MURMURS |
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ABDOMEN |
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LIVER |
SPLEEN |
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CORD |
GENITALS |
ANUS |
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MECONIUM |
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SPINE |
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EXTREMITIES |
MUSCLE TONE |
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PARALYSES |
REFLEXES |
MORO |
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JOINTS |
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ABNORMAL FINDINGS ON PHYSICAL EXAMINATION:
SIGNATURE OF PHYSICIAN |
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DATE |
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SEX |
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RACE |
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PATIENT'S IDENTIFICATION |
(For typed or written entries give: |
REGISTER NO. |
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WARD NO. |
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middle; grade; date; hospital or medical facility) |
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NEWBORN |
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STANDARD FORM 535 |
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PRESCRIBED BY GSA/ICMR |
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FIRMR (4 1 CFR) |
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OCTOBER 1975 |
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USAPPC V1.00 |
CONDITION ON DISCHARGE: (Record any significant physical findings and summarize any unusual observations or therapy during hospitalization.)
DISCHARGE FEEDING: (Use progress notes to record unusual feeding behavior)
BREAST
BREAST AND COMPLEMENT
FORMULA
(Amount) |
(Number of feedings) |
SPECIFY FORMULA
NURSING VISIT ORDERED
OFFICE OF PRIVATE PHYSICIAN
(Location)(Date)
REFERRED TO CLINIC
(Location) |
(Date) |
SOCIAL SERVICE |
REFERRED TO |
(Name of social service agency)
SIGNATURE OF EXAMINING PHYSICIAN
DATE OF DISCHARGE
WEIGHT ON DISCHARGE
PROGRESS NOTES (Sign and date all notes)
USAPPC V1.00