Released under the John F. Kennedy Assassination Records Collection Act of 1992 (44 WS¢ 7i07 Hote). DATE: 11-14- os 2017 JFK Assassination System Date: $/27/201 Identification Form a ee Agency Information AGENCY: FBI RECORD NUMBER: — 124-10134-10460 RECORD SERIES: HQ a co _ AGENCY FILENUMBER: 67-494012-189 NN Document Information ORIGINATOR: FBI FROM: KC TO: TITLE: DATE: 07/02/1973 PAGES: 4 SUBJECTS : JAMES P. HOSTY JR. DOCUMENT TYPE: PAPER, TEXTUAL DOCUMENT CLASSIFICATION: — Unclassified RESTRICTIONS: 3 CURRENT STATUS: — Redact DATE OF LASTREVIEW: 08/26/1998 OPENING CRITERIA: INDEFINITE COMMENTS : MED RPT, INC FD-300 ie v9.1 24 Docld: 322785154 Page 1 ‘ é
“Released under the John F. Kepnedsy Assassination Records collection Act of 1997 (44 USC 2107 Hote}. b ad ny , ~ Dae nites tL 7 \ . © a o~ ~ y “© Generz3 Services Administration. _t . Ke i Interagency Comm. on Medical Records ne : / FPMR,101-11.809+ rs -. REPORT OF MEDICAL EXAMINATION . ¥ TASH RANE FIRST NAME—MIDDLE NAME fy. HOSTY, James Patrick Jr 4, ‘wont ADDRESS (Number, street or RFD, city or town, State and ZIP Code) 3014_W. 5lst Terrace Shawnee Mission, Kanaas 66205 2. GRADE_AND COMPONENT OR POSITION Special Agent FBI 3. IDENTIFICATION NO, 354-16-1823 6. DATE OF EXAMINATION a. 5, PURPOSE OF EXAMINATION Annual 2 Jul 73 10. AGENCY 11. ORGANIZATION UNIT ~ FBI Kansas City | 14. NAME, RELATIONSHIP, AND ADDRESS OF NEXT OF KIN \ Janet P. Hosty (Wife) | Same as #4 | 16. OTHER INFORMATION ~ / 8. RACE . ~e 9, TOTAL YEARS GOVERNMENT SERVICE ‘Caucasian MILITARY CIVILIAN Male 12, DATE OF BIRTH © (48) 28 Aug 24 | Chicago, Illinois oe EXAMINING FACILITY OR EXAMINER, AND ADDRESS USAF Hosp, Richards- Gebaur (AFCS) R-G AFB Mo 17. RATING OR SPECIALTY TIME IN THIS CAPACITY (Total) LAST SIX MONTHS CLINICAL EVALUATION NOTES. (Describe every abnormality indetail. Enter pertinent item number before each ROR: sckeachitem in appropriate col, TRENOR- comment. Continue in item 73 and use additional sheets if necessary.) MAL umn, enter ‘‘NE"’ if not evaluated. MAL ; : . XK | 18. HEAD, FACE, NECK. AND SCALP | | 19. NOSE - . . 20. SINUSES 21, Tonsils enucleated. 22. EARS—GENERAL (nt. & ext. canals) (Auditory | | acuity under items 70 and 71) 13. PLACE OF BIRTH Pd lbs 23. DRUMS (Perforation) _ (Visual acuity and refraction , . 24. EYES—GENERAL under items 59, 60 and 67) 25. OPHTHALMOSCOPIC Pa PS | PSPS BS 26, PUPILS (Equality and reaction) : ~ 27.. OCULAR MOTILITY (Associated parallel move- ments, nystagmus) rm 28. LUNGS .AND CHEST Unelude breasts) 29, HEART (Thrust, size, rhythm, sounds) - . . 30. VASCULAR SYSTEM (Varicosities, etc.) , . aeRoe —_ 31. ABDOMEN AND. VISCERA (Include hernia) ’ 32. ANUS AND RECTUM (Hemorrhoids, fistulae) Hemorrhoids, fatulac. | | 32 Rectum and prostate normal; oe neg. 33. ENDOCRINE SYSTEM . s || : ws x 34. Circumcised, WHNS. (, PA] PS] PS] PSS PS 34. G-U SYSTEM 35. UPPER EXTREMITIES (Strenath. range of motion’ . 36. FEET 3 (Except feet) 37, LOWER EXTREMITIES (Strength, range of motion) 38. SPINE, OTHER MUSCULOSKELETAL ; bn. ales 339. IDENTIFYING BODY MARKS. SCARS, TATTOOS |_| rN) ’ 26C-235 aoe s - ¥ 40. SKIN, LYMPHATICS - LE. We) : 7 41, NEUROLOGIC (Equilibrium tests under item 72) i an = Wiinbered 4 AUG 13 1873 Pa] P| PS EPS) BS] PS] PS] PS) 42. PSYCHIATRIC (Specify any personality deviation) 43. PELVIC (Females only) (Check how done) Ovacina Crectar (Continue in itém 73) 44, DENTAL (Place appropriate symbols, shownin examples, above or below number of upper and lower teeth.) | REMARKS AND ADDITIONAL DENTAL i DEFECTS AND DISEASES 1 2 3. Restorable 1 5 3 Non- i 2 3 Missing 12 2 3 Replaced {3 2 3 Fixed E 3 | 32 3130 teeth 3231 36 restorable = 393130 teeth 32 3130 , 32 31 30 Partial xam type { teeth x x x xX dentures ( x ) gentures } R x 7X ae Se Se (_ x) Class 1 i G : io 11 1213" 16 E H 32 31 30 29 22 21° 20 ‘ 17_-F T xT LABORATORY FINDINGS 46. CHEST X-RAY (Place, date, film number and result) 14 x 17 Film, No 73-5589 2 Jul 73 R-G AFB Mo ; Normal D. MICROSCOPIC Negative fy 49. Boon TYPE AND RH 50. OTHER TESTS [rer ANte) pb 7 19/3; GRR yd Pos Hemat: 43 vol% " a - : tose -