‘Released under the John F. DATE: 11-14-2017 ! COMMENTS : v9.1 " Docld: 32285036 Page 1 AGENCY : RECORD NUMBER : RECORD SERIES : AGENCY FILE NUMBER : ORIGINATOR : FROM: TO: TITLE : DATE: PAGES: SUBJECTS : DOCUMENT TYPE : CLASSIFICATION : RESTRICTIONS : CURRENT STATUS : DATE OF LAST REVIEW : OPENING CRITERIA :° Kennedy Assassination Records Collection Act of 199? (44 USC 2107 Hote). JFK Assassination System Identification Form Agency Information FBI 124-10134-10312 HQ 67-494012-116 Document Information FBI 02/20/1964 7 JAMES P. HOSTY JR. PAPER, TEXTUAL DOCUMENT Unclassified 3 Redact 08/21/1998 INDEFINITE MED RPT, INC LET, MED HISTORY, FD-300 Date: 5/27/201
dy Assassination Records Colleg » Released under the John F. Ken | DATE, 11-14-2017 1 LAST NAME—FIRST NAME—MIDDLE NAIC » PHOSTY, JAMES PATRICK JR } 7 a@ HOME ADDRESS (Number, street or RFD, city or town, zone and State) 11018 Genetta Dr, Dallas, Texas SPECIAL AGENT Annual 9. TOTAL YEARS GOVERNMENT SERVICE: 10. AGENCY 7. SEX &. RAGE. | Mele white __[mnrary FBI is 12. DATE OF BIRTH 13. PLACE OF BIRTH oo 28 Aug 24 (39) 15. EXAMINING FACILITY OR EXAMINER. AND’ ADDRESS | : ~ Chicago, Illinois es ion Act of Ss 5 Standard Forme. 88 IRT OF MEDICAL EXAMINATION °™  8B-103-01 } - <, : Vz 2. GRADE AND COMPONENT OR POSITION 5. PURPOSE OF EXAMINATION Wl, ORGANIZATION UNIT Dallas, Tex 14. NAME, RELATIONSHIP, AND ADDRESS OF NEXT OF KIN. Janet P Hosty (wife) (Same as Item 4.) 16, OTHER INFORMATION 1992 (44 USC 2107 3; IDENTIFICATION NO. — 6. DATE OF EXAMINATION | 20 Feb 64 ! USAF HOSP CARSWELL, CAFB, TEXAS = Describe every ‘ahnormality in detail. "CLINICAL EVALUATION) = 2 > (Check each item in appropriate column, enter ‘NE’ if not evaluated.) “|-NOTES. 1 "NOR- Oo = > 18. HEAD, FACE, NECK, AND SCALP 19. NOSE . : at. MOUTH ANDO THROAT . t . = Tat, & eat. conalijof Auditory 22. EARS— GENERAL ois, under items 70 and 71) wae b¢ |b 23. DRUMS (Perforation) (Visual acvily and refraction a4. “EYES—GENERAL under items 59, 60 and 67} —~ 25. OPHTHALMOSCOPIC: ++1 26, PUPILS: (Equality and reaction) 7. » | 27. OCULAR MOTILITY (Associated parallel move- wees ments, nystagmus) ~| 2@/ LUNGS AND CHEST (Include breasts) 29. HEART (Thrust, size, rhythm, sounds) 3O. VASCULAR SYSTEM (Varicosities, ‘etc.) 31, ABDOMEN AND VISCERA (Include hernia; . (Hemorrhoids, fistulae} 32. ANUS AND RECTUM ip, astote, if indicated) 33. ENDOCRINE SYSTEM 34, G-U SYSTEM 33, UPPER EXTREMITIES (Strenati, range of motion} 36, FEET 37. LOWER EXTREMITIES (Exceet feet) . Strength, range of motion. 38. SPINE, OTHER MUSCULOSKELETAL 39. IDENTIFYING BODY MARKS, SCARS, TATTOOS 40. SKIN, LYMPHATICS x Al. NEUROLOGIC (Equilibrium tests under item 72) 42. PSYCHIATRIC (Specify any perienality deviation) 43. PELVIC (Females only} (Check how done} me [4 [4 fe fos [oe 134 foe foe Be, be Ww pa & ba [54 [be [pd io) oO LTTE EE Ww & ° a LL Cl vacinan (J Recta 44. DENTAL (Place appropriate symbols above or below number of upper and lower teeth, respectively.) . (Continue in O=—Restorable teeth - to i—Nonrestorable teeth __X—Missing teeth. (6 X 8)—Fixed bridge, brackets XXX—Replaced by dentures —_ include abutments - if X Xx s 6 13 14 15. 18 19 AZO—-D LABORATORY FINDINGS CAFB, Tex #64-3379 D. MICROSCOPIC Within normal limits, B. ALBUMIN Cc. SUGAR : . TIME IN THIS. CAPACITY: (Total) Enter - pertinent item Continue. in item. 73 and vse additional sheets if necessary.) oad ms ba aw = ; ' a ® e 8 o @ be] | hd ° Le a x rye) 1 + ° item 73} 46. CHEST X-RAY (Place, date, film number and result) LAST: SIX MONTHS: aumber before dach comment. at ETE et ee REMARKS AND ADDITIONAL DENTAL DEFECTS AND DISEASES Type 3., Class l. 20 Feb 64 Negative 49. BLOOD TYPE AND . OTHER TESTS 47. SEROLOGY (Specify test used and result) RH FACTOR ee Cardiolipin ~ Negative as Docld: 322785036 Page 2? ‘ oe ee a tC od CRAs ee seg ana ali wt tgtaritat alt a SE
57. 72 BLOOD PRESSURE (Arm of heort level} ('stenper based under e . enneédy Assassination Records Collection Act o 44 US DATE: 11-14-7017 . ; oe : ; LO FAEASUREMENTS AND OTHER FINDING. v2 St. HEIGHT 52, WEIGHT ~ 53. COLOR HAIR |54. COLOR EYES| 55. BUILD: 6. VEMPERATURE oO MEDIUM (yHeavy (] opese 98t0 PULSE (Arm at heart level) A sys. 110 Svs. c. sys. = A. SITTING B. AFTER EXERCISE | C. 2 MIN. AFTER | D. RECUMBENT | E. AFTER STANDING . . = 3 MIN. STANDING , ; . srrmefons 70 "sek fons. | Wt fonem | 64 | 76 | |= - 62, HETEROPHORIA (Specify distance) ES? Ex? RH. L. He PRISM DIV. PRISM CONV. ec PD ~ cT 63, ACCOMMODATION 64, COLOR VISION (Test used and result) 65. DEPTH PERCEPTION UNCORRECTED - bk . (Test used and score} ie RIGHT ~~ LEFT -~ VIS-CV Passed ov CORRECTED wa 66. FIELD OF VISION 67. NIGHT VISION (Test used and score) .68. RED LENS TEST 69. INTRAOCULAR TENSION -_ Normal Normal _ 72. PSYCHOLOGICAL AND PSYCHOMOTOR 7 70. HEARING vt Maico AUDIOMETER {Test used and score) 250 500 1000 2000 r 3000 4000 6000 gooo RIGHT WV 15 “5 sv 256 | 512 | 1024 | 2048 | 2896 | 4096 1 6144 | 8192 Lerr wv ns sv cut] sl ol of of ~| .| | _| & 15 78 - ~ 3 “feeer{is5lioliol2o{/ -{ -| -| —| 73. NOTES (Continued) AND SIGNIFICANT OR INTERVAL HISTORY | Whooping cough in childhood; no comp, no seqs |; aceration to forehead in early childhood; no comp, no seq. Denies all other medical or surgical history. (Use additional sheets if necessary) a 74. SUMMARY OF DEFECTS AND DIAGNOSES (List diagnoses with item numbers) 75. RECOMMENDATIONS—FURTHER SPECIALIST EXAMINATIONS INDICATED. (Specify) Refer to private physician for evaluation of right testes, A. PHYSICAL PROFILE 77. EXAMINEE (Check) A3E] 1S QUALIFIED FOR Arduous duties, 8. (tS NOT QUALIFIED FOR 78, iF NOT QUALIFIED, LIST DISQUALIFYING DEFECTS BY ITEM NUMBER . rae TYPED OR PRINTED NAME OF PHYSICIAN ALBERT B HENRY, CAPT, USAF, MC 80.. TYPED OR PRINTED NAME OF PHYSICIAN SIGNATYRE /\ ns od wt SIGNATURE 81. TYPED OR PRINTED NAME OF DENTIST OR PHYSICIAN (indicate which) SIGNATURE NUMBER OF AT-. TACHED SHEETS SIGNATURE 82, TYPEO OR PRINTED NAME OF REVIEWING OFFICER OR APPROVING AUTHORITY N. : —* . #¢ U.S. GQVERNMENT PRINTING OFFICE: 1960--S537858 , 'Doclda: 3227685036 Page 3