“Released under the John F. DATE: 11-14-2017 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 : COMMENTS : v9.1 | Docld: 32285138 Page 1 Kennedy Assassination Records Collection Act of 1992 (44 USC 32107 Hote). JFK Assassination System Identification Form Agency Information FBI 124-10134-10414 HQ 67-4940 12-167 Document Information FBI KC 04/10/1967 4 JAMES P. HOSTY JR. PAPER, TEXTUAL DOCUMENT Unclassified 3 Redact 08/26/1998 INDEFINITE MED RPT, INC FD-300 18 Date: 5/27/201
‘ § i I (}Docld:3226513% Page 2 Released under the-Jonn Ff . Kenney RasassTnarton Ti ‘Records. Co! ‘DATE: 11-1 g cult : Standard Form eh the 189 - Nd 38 “109. o. - Girewat A= 32 (Rev) ; ; EPORT oF MEDICAL EXAMINATION. 1. ona a, LAST NANG—F FIRST NAME—MIDDLE .NAME a ae oe et, wl 2,, GRADE AND COMPONENT OR POSITION ; "3. IDENTIFICATION NO. ot HOSTY, Zames. Patrick, je , . Special ‘Agent. FBI - | 7392 4, HOME ADDRESS (Number, street or RFD, city or town. zone and State) 9 Ts. PURPOSE OF EXAMINATION , -, .”, _.|.6. DATE OF EXAMINATION” vl 3014 West, 51st Terrace: | ae aoe een foe ot ee a - Shawnee Mission, ‘Kansas 66205 ae ane “"-- FBI Annual. °° 0°” LO: Apr’ 67 at . 7.. SEX : - 8, RACE aan . % TOTAL YEARS GOVERNMENT “SERVICE - a  10.- AGENCY pe ie V1. ORGANIZATION UNIT) 2) . - oo Sn - Male _|Caueasian — SA “BBE (Kansas City) i’ ** " "42..DATE OF BIRTH. _~ [.13. PLACE OF BIRTH oon wy Mae “NAME, RELATIONSHIP, AND ADDRESS OF NEXT OF KIN. *. yt - ae . a _ a . oo ne : Janet P. “Hosty (Wwife)” Oy as 28 Aug 24 (42) | Chicago, filinois ae a Same. as’ Item #4 . y ay 15; EXAMINING FACILITY OR EXAMINER, AND ADDRESS . ae ve , * P96. OTHER INFORMATION’) © meg 838, TAC HOSPITAL FORBES. AFB, /KANSAS. 66620 ef ee as To, . “TAT. RATING 'OR SPECIALTY — ; a TIME IN THIS CAPACITY (Total)... “LAST SIXMONTHS, © CLINICAL EVALUATION or "NOTES. (Describe e every abnormality in detail . Enter ‘pertinent item number before sach i - commient. Continue in item 73 and use additional sheets if. necessary: :) eck each itemin appropriate col- |ABNOR- umn: enter ‘'NE"' if not evaluated. MAL OR. : ed . an : wo, ~ : o4 . . ‘ a0 18. HEAD, FACE, NECK, AND SCALP 2 eee - ore SE * 149. Nose - _— a _— Pe 20. SINUSES. 21. MOUTH AND THROAT. aa Unt. & ext. canala) (Auditory ) 22. EARS -GENERAL acuity under-items 70 and 7!) 23. DRUMS (Perforation) a (Visual acuity end refraction 2A. EYES—GENERAL under items 59, 60 and 67) ‘. ~| 25. OPHTHALMOSCOPIC ~ (26. PUPILS (Equality and reaction) (Associated parallel move-, 27. OCULAR MOTILITY ments, nystagmus) _28. LUNGS AND CHEST (Jnclude breasts). -< - 29. HEART (Thrust, size, rhythm, sounds): 30, VASCULAR’ SYSTEM ( Varicosities, etc.) -- 31, ABDOMEN AND, VISCERA (Include hernia) —<————— (Hemorrhoids, fistulae) : 32. "ANUS AND RECTUM (Prostate; 4 indicated)’ mye . re} >} os] 4] oe | oe foe Loe Loe | foe Lie [0 < 32. . Prostate and--rectum normal ‘to.digital examination.:.. ) 33. “ENDOCRINE SYSTEM’ 1 ie mtr] | oe | |, 38, G-U. SYSTEM : . 35. UPPER EXTREMITIES (Slrendfh. range of \ 36. Fi EET Excent feet) 37. LOWER EXTREMITIES (Strenoth, range ofmotion) 38. SPINE, OTHER: MUSCULOSKELETAL . 39.. IDENTIFYING BODY MARKS, SCARS: TATTOOS: 40. SKIN, LYMPHATICS - o Al, NEUROLOGIC (Equilibrium teats under item 7a). : ‘Sek re bs — ae 4A _ 4587 F ws PF a ne tate =. ena eeareenioanty od 7 1 i sy ange xX 42. PSYCHIATRIC (Specifyany personality deviation) Lm, 43. PELVIC (Females only) (Check how done) ‘ : . . Civasinat 1) RECTAL _(Continue in item 73) 44,, DENTAL (Place appropriate symbols above oribelow number of upper and lower teeth, veapectively) ; . , " }SREMARKS, AND<ADDITIONAL DENTAL ae) : O—Restorable teeth’ Sg X—Missing teeth oe 6 X8)—Fired bridge, brackets to J—Nonrestorable teeth KX X—Replaced by dentures | DEFECTS AND DISEASES aay - include abutments - {7 Typ al? WB ~ , ty - a ot}. Class - 20°. 7. os | qualified” SOs * ne - LABORATORY FINDINGS. mee at i Brosthest ‘serviceable a ‘45. URINALYSIS: A. SPECIFIC GRAVITY . 46. CHEST X- RAY (Piece, date; film number and result) ts m : wo, ! BL ALBUMIN Neg 838° TAC. HOSPITAL, “FORBES. AFB, KANSAS: ~ 4 " . . 7 . . i “©. SUGAR | Neg |. : : idm " Neg ae O Apr 6 : ——!*? “4 47, “SEROLOGY Spe test used and ren. 09. never TYPE AND RH 50. OTHER TESTS. arene . ; ve : ACTOR a Ss . . . . hie a eo fe ‘ Pp, _# wate y > : WE. — : 7 _Hematoc 67. = \ | “ . tae . - . . 7 ’ a ’ . ' Dee : oes GS oe ; ke : ; = a —— poets a a ee en a a .