scope:

This instruction applies to all Navy Medicine medical treatment facilities (MTF) that support operational forces. Operational forces are defined as deployed Fleet and Marine Forces; units of the Military Sealift Command; shore-based personnel or units subject to deployment (Navy Expeditionary Combat Command Units, Naval Special Warfare Units, Anti-Submarine Warfare Wings, Deep Submergence Units, etc.); Army, Air Force, U.S. Coast Guard, U.S. Public Health Service, and National Oceanic and Atmospheric Administration personnel or units in deployable status; and visiting foreign national personnel or units.