will transmit plans and specifications, with proposed modifications, through military channels, to the Secretary of War. Similar action will be taken upon quarters for sergeants, first class.

1484. When hospitals or quarters of sergeants, first class, are erected or repaired, the officer conducting the work will consult the surgeon of the post, who will inspect the work during its progress; and when a building is ready for occupancy, the surgeon will report as to its merits to the Surgeon-General, through the regular channel, and furnish a copy of the report to the constructing officer.

1485. The surgeon, after obtaining from the quartermaster necessary data as to the amount of labor, quantity of material, and cost, will forward on March 1 of each year, through military channels, to the Secretary of War, an estimate of repairs, alterations, or additions needed on hospitals and quarters of sergeants, first class, during the next fiscal year, with plans of the same, stating the condition of the buildings and necessity for repairs. The surgeon of the post will prepare and sign estimates for hospital construction and repairs, one copy of which is required by the Surgeon-General. The number required at department headquarters is fixed by the department commander. When work is completed, the medical officer will report to the Surgeon-General whether it was performed according to the estimate, and the material and balance of allotment remaining. Approved plans or estimates for construction or repair will be altered only by authority of the Secretary of War.

1486. The Surgeon-General will furnish to the Quartermaster-General, in sufficient time for his annual estimates, a statement showing the hospital repairs which will be needed during the ensuing year, with estimated cost of the same.

1487. No portion of any hospital building at a military post will be used or occupied as quarters, nor will any mess be permitted or maintained therein except such as may be necessary for patients and enlisted men there on duty.

SICK CALL.

1488. At sick call the enlisted men of each company who require medical attention will be conducted to the hospital by a noncommissioned officer, who will give to the attending surgeon the company sick report book containing the names of the sick. The surgeon, after examination, will indicate in the book, opposite their names, the men who are to be admitted to hospital and those to be returned to quarters, what duties the latter can perform, with any other information in regard to the sick which he may have to communicate to the company commander. The senior medical officer of the command will make a daily report of the sick and wounded to the commanding officer.

1489. Medical officers will furnish company commanders any information, except the diagnosis, which will assist them in determining, for entry on the muster rolls, whether or not the disability of a soldier who is or has been on sick report originated in the line of duty, entering this information in the company sick report book. When required they will furnish the diagnosis to the commanding officer.

MEDICAL ATTENDANCE.

1490. Medical officers and contract surgeons on duty will attend officers, enlisted men, contract surgeons, contract dental surgeons, members of the Nurse Corps (female), prisoners of war and other persons in military custody or confinement, and applicants for enlistment while held under observation; also, when practicable, the families of officers and enlisted men; and at stations, or

in the field, where other medical attendance can not be procured, civilian employees. Medicines will be dispensed to all persons entitled to medical attendance, and hospital stores to enlisted men and hospital matrons, also to officers at posts or stations where they can not be procured by purchase.

1491. Medical officers and contract surgeons at their stations will furnish medical attendance to officers and enlisted men on the retired list, but they will not be required to leave their stations for that purpose. Medicines, dressings, etc., will be supplied to retired officers and enlisted men from army dispensaries on medical officers' prescriptions.

1492. Enlisted men sick at recruiting stations, excepting those with trivial disabilities or those with severe injuries which render their removal impracticable, will be sent by the recruiting officer for treatment to the nearest inilitary hospital.

1493. When medical treatment, including medicine, nursing, and hospital care, is required by an officer, an enlisted man, a contract surgeon, a dental surgeon, or an army nurse, on duty with any command or detachment, by a prisoner in military custody, or by an applicant for enlistment held under observation, and can not otherwise be had, the commanding officer may employ the necessary civilian service to furnish the same, and just accounts therefor will be paid by the Medical Department. When the officer, the contract surgeon, the dental surgeon, or the nurse who requires such treatment is on duty without troops, or the enlisted man is on duty where there is no officer, he or she may arrange for the required service.

Accounts for the medical treatment of officers, enlisted men, contract surgeons, dental surgeons, and nurses absent from duty, and of the families and servants of officers and men, are not payable from public funds. Accounts for consultation will not be allowed. Treatment of chronic complaints by a specialist will not be paid for unless authority to employ such specialist has been obtained from the Surgeon-General. Surgical appliances will be paid for only upon satisfactory evidence of their necessity; and such evidence, except in cases of emergency, should be submitted to the Surgeon-General for his approval before purchase. Accounts for hospital stores will be paid only for enlisted men.

1494. Accounts for different fiscal years will be rendered separately and will be forwarded to the chief surgeon, but if arising at an independent post or station, directly to the Surgeon-General. If the accounts are for continuous service, they will be forwarded monthly; if for temporary service, promptly upon the completion of such service. Blank forms may be obtained from the Surgeon-General on application. Separate forms are provided for physicians' bills, medicine bills, hospital bills, and special nursing bills.

1495. Accounts for medical attendance will be stated in the full name of the physician, and will give his address. The visits charged for will be set forth chronologically, giving under each date the full name, rank, company, and regiment or corps, or other appropriate description of the patients treated, the disease or injury in each case, and the charge. Additional visits made on the same day will be entered separately, and marked second visit, third visit, etc., and the necessity thereof must be explained, the patients named, and the separate charge therefor noted. The charges must not exceed the usual local rate or the maximum compensation authorized by regulations. Any unusual charge must be fully explained. The date and nature of surgical operations with the particular charge therefor will be indicated; also the dates of after attendance, if any, rendered without additional charge in surgical cases. If medicines charged for extra by the physician were supplied from his own stock, he must so certify and furnish an itemized list thereof.

If the medicines were supplied by a druggist and paid for by the physician, the former's itemized receipted bill showing payment by the latter is required as a subvoucher, accompanied by the prescriptions, each prescription showing upon its face the date, the druggist's file number, the price, and the name of the patient for whom the medicines were prescribed. Medicines furnished by a druggist, but not paid for by the physician, will not be allowed in the latter's account. The physician will certify that the account is correct and just and that the charges do not exceed the customary local rate. When the charge is against a deceased person, the physician will certify also that he has not received the sum expressed, or any portion thereof. The responsible officer will certify to the correctness of the account, stating that the officers, enlisted men, contract surgeons, dental surgeons, and army nurses named were on duty; that the prisoners were in military custody, and that the applicants for enlistment were held under observation at the time and place of treatment, and state why it was impossible to secure the services of an army surgeon. When civilian medical attendance is required by a contract surgeon or dental surgeon on duty without troops, he himself will give the prescribed certificate; when by an enlisted man or nurse, he or she will make affidavit to the required certificate.

1496. The compensation allowed to civilian physicians for ordinary medical attendance on public account at garrisoned posts or camps will not exceed the following rates, and if the local charge per visit is less, the account will be rendered at the local rates: For attending post or sick call, five patients or less, $2.50; for each patient in excess of five, 50 cents; for each additional visit to post or sick call on the same day, when necessary, $2. Where there is a large sick report and the service will be required for an extended period, application will be made to the Surgeon-General for authority to employ a physician by the month. Accounts arising at posts or camps under exceptional circumstances, all accounts arising at other places, and accounts for special or surgical services will be allowed at reasonable rates approved by the Surgeon-General.

1497. Accounts for medicines furnished by a druggist and not paid for by the attending physician will be stated in the legal name (corporate, firm, or individual, as the case may be) of the druggist, will designate the place where the medicines were furnished, will be accompanied by the prescriptions, and must be only for medicines properly so called. The account will contain the date and file number of each prescription, the name, rank, company, and regiment, etc., of the person for whom the medicines were furnished, as required in paragraph 1495, and will state the charge for the medicines. The druggist will certify that the account is a just and correct statement of medicines furnished by him at the place specified to the persons named on the prescriptions submitted; that the medicines were actually furnished on said prescriptions to said persons on the dates so set forth, and that the prices charged are not in excess of those prevailing at said place. The responsible officer or contract surgeon will certify that the officers, enlisted men, contract surgeons, dental surgeons, and army nurses mentioned in the account were actually on duty; that the prisoners were in military custody, and that the applicants for enlistment were held under observation, at the place specified, when the medicines were furnished for them as stated, and that there was no army dispensary in or near said place, if such be the fact. If there was an army dispensary in or near the place, but the medicines were procured elsewhere because it was closed when they were required, or because they were not on hand in such dispensary, the certificate should so state. When the medicines are procured by a dental surgeon on duty without troops, he himself will give the prescribed certificate; when by an enlisted man or nurse, he or she will make affidavit to the required certificate.

1498. Accounts of civil hospitals should indicate the daily or weekly rate charged and the several items of service furnished by the hospital (such as medical attendance, medicines, nursing, lodging, board), and should be accompanied by the original agreement, if written, or, if not written, by a statement showing what the agreement was. In no case should the rate agreed upon or charged exceed the usual local rate for like service to private patients. If the hospital rate is itemized, as so much for board, so much for room, so much for medical attendance, etc., the item rates must be shown. Extras, such as ambulance service, use of operating room, etc., not covered by the daily or weekly rate must be separately itemized. The account will be authenticated in behalf of the Government by a certificate or affidavit similar to that prescribed in paragraphs 1495 and 1497, to which should be added a statement showing why the patient could not be cared for in an army hospital.

1499. Accounts of special nurses will set forth the full name and address of the nurse, the full name, rank, company, and regiment or corps, or other appropriate description of the patient, the disease for which he or she was treated, the dates of service and number of hours per day that service was rendered, and the rate of pay per week or per month. Pay may be allowed at reasonable rates approved by the Surgeon-General, not, however, exceeding $21 per week, except upon special authority granted by the Secretary of War. The nurse will certify that the account is correct and just; that the services were rendered as stated, and that the patient is not related to the nurse. The attending physician will certify that the services of a nurse were indispensable to the proper care of the patient; that the nurse was competent; that the services were rendered as claimed, and that the charges do not exceed the customary local rates for competent nurses. The account will be authenticated in behalf of the Government by a certificate or affidavit similar to that prescribed in paragraphs 1495 and 1497, to which should be added a statement showing why the patient could not be cared for in an army hospital or by a qualified attendant of the Hospital Corps. No accounts for nurses employed in trivial cases will be paid.

1500. When the charge is for the treatment of an individual officer, contract surgeon, or dental surgeon, and it is necessary for him to pay it, he may transmit the account to the Surgeon-General for reimbursement. A reimbursement account will be stated in the prescribed form in the name of the original creditor, physician, druggist, nurse, or hospital, às the case may be. The fact of payment will be plainly stated by such creditor either in the certificate on the form or by separate receipt, and will be certified by the officer, contract surgeon, or dental surgeon claiming reimbursement; both payer and payee will state the reasons that made such payment necessary.

1501. The compensation allowed to civilian physicians for the physical examination of applicants for enlistment, when authorized by regulations or orders, will be at the following rates: For a single recruit, $1; for two recruits on the same day, $1.50; for three recruits on the same day, $2; for four recruits on the same day, $2.50, and 40 cents for each recruit over four examined on any one day. A physician employed at different recruiting stations will be allowed the above rates in full for the examinations at each station. He will be allowed 50 cents for each authorized vaccination. Accounts for examination and vaccination of recruits will show the physician's address and the particular location of the recruiting station, the number of applicants examined each day and the charge, and the number of men vaccinated each day and the charge. The recruiting officer will certify that the men examined were applicants for enlistment, and that the men vaccinated were recruits enlisted and duly sworn, or applicants accepted for enlistment, as the case may be.

1502. Civilian physicians employed, in the absence of a medical officer or . contract surgeon, to examine physically or vaccinate enlisted men, under these regulations or orders from competent authority, will be paid at the rates prescribed above for the examination and vaccination of recruits.

MEDICAL SUPPLIES.

1503. Purchase of medical supplies will be made in pursuance of law, under the direction of the Surgeon-General.

1504. The routine issue of disinfectants is prohibited.

1505. Damaged or unserviceable medicines, medical books, surgical or scientific instruments and appliances, pertaining to the Medical Department, will not be presented to an inspector for condemnation until authority for so doing has been obtained from the chief surgeon of the division or department.

RETURNS.

1506. Each chief surgeon will make to the Surgeon-General on the last day of every month a return of medical officers, contract dental surgeons, and physicians under contract.

ARTIFICIAL LIMBS.

1507. Every officer, enlisted man, or employee of the military forces of the United States who, in the line of duty, or through disease contracted in service, shall have lost a limb, or the use of a limb, will receive once every three years an artificial limb or appliance, or commutation therefor if he shall so elect, under such regulations as the Surgeon-General of the Army shall prescribe. The money value allowed as commutation is, for a leg, $75; for an arm, foot, and apparatus for resection, $50.

1508. Necessary transportation, including sleeping-car accommodations, required for travel to place where artificial limbs may be fitted, will be furnished by the Quartermaster's Department, the cost to be refunded from any money appropriated for the purchase of artificial limbs.

1509. An officer who pays an account for transportation of persons to enable them to procure artificial limbs will take credit for amounts paid for such transportation in the usual manner on his accounts current, and the vouchers evidencing the payments will accompany the accounts to the Auditor for the War Department for settlement. For the convenience of the Auditor in adjusting the appropriations involved the vouchers should bear conspicuously across their face a notation reading, "Transportation to have artificial limbs fitted."

ARTICLE LXXVIII.

CORPS OF ENGINEERS.

NOTE.-Regulations for the government of the Corps of Engineers, prepared and published under the authority of the Secretary of War, are distributed to its officers by the Chief of Engineers. Only such regulations are herein given as are general in their nature or affect other branches of the service.

1510. The duties of the Corps of Engineers comprise reconnoitering and surveying for military purposes, including the laying out of camps; selection of sites and formation of plans and estimates for military defenses; construction and repair of fortifications and their accessories; the supervision of the location of all buildings in or within one mile of any fortification; the installation of electric power plants and electric power cables connected with seacoast batteries,