DEPARTMENT OF THE NAVY
OFFICE OF THE CHIEF OF NAVAL OPERATIONS
2000 NAVY PENTAGON
WASHINGTON, DC 20350-2000
AND
HEADQUARTERS UNITED STATES MARINE CORPS
3000 MARINE CORPS PENTAGON
WASHINGTON, DC 20350-3000
OPNAVINST/MCO 6400.2
N093/MCCDC 466
25 Jan 2017
OPNAV INSTRUCTION/MARINE CORPS ORDER 6400.2
From: Chief of Naval Operations
Commandant of the Marine Corps
Subj: SCOPE, LIMITATIONS, CERTIFICATION, UTILIZATION, AND PHYSICIAN
OVERSIGHT OF CERTIFIED ATHLETIC TRAINERS
Ref: (a) BUMEDINST 6010.30
(b) TECOM Order 6260
(c) Memorandum of Agreement between BUMED and TECOM of 30 Nov 2012,
Support for Sports Medicine and Injury Prevention (SMIP) Program
(d) MCCDC ltr of 5 Dec 2002, USMC Sports Medicine and Injury Prevention (SMIP)
Initiative
(e) BUMEDINST 6010.31
(f) DoD 6025.18-R, DoD Health Information Privacy Regulation, January 2003
Encl: (1) Certification Process
(2) Guidelines for the Utilization of Certified Athletic Trainers
(3) Certified Athletic Trainer Standards and Scope of Care
(4) Certified Athletic Trainer Performance Skills Guidelines for Mandatory Patient
Referral to a Physician
(5) Sample Appointment Letter for Program Director
(6) Sample Appointment Letter for Physician Supervisor and Assistant Program Manager
(7) Sample Notification Letter of Certified Athletic Trainer Physician Supervisor
Appointment
1. Purpose. To establish scope, limitations, certification, utilization, and physician oversight
guidelines for certified athletic trainers working under the cognizance of local Navy medical
treatment facilities (MTF), operational fleet physicians, or Fleet Marine Force physicians, per
references (a) through (d).
2. Scope. This directive applies to the United States Navy and the United States Marine Corps
total force.
