Greenville_Event.pdf
PDF 50 KB Posted
- Attached to
- State Wide Physical Health Assesments
- Solicitation number
- 123456123456
- Issued by
-
Department of the Army
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Text version
Medical Numbers
G6PD DNA
FLU HEPA HEPB TDAP
MRR VAR Percent Pano
OPTOMERTY
EKG
ENDO
For G1 MEDICAL use only
POC Email
Event Details
Phone Number
Event State: Event Zip:
Primary POC
HIV
NCARNG Medical Event Request Form
G1 Medical
Event Location
Brigade/MSC:
Battalion:
To:
Event Name:
Event Street Address:
Event City:
PREGNANCY TESTS LIPID PANEL
HEARING EXAMS SPRINT TESTS
Dental Treatment Hours:
LIVE DENCLASS
ORAL SUGURY
LIVE HRR
Data Entry: Additional Notes:
Participating Units/UICs:
Number of Females Over 40
Alternate POC
Phone Number
POC Email
Attending Day 1
Attending Day 3 Attending Day 2
Notes
Total Attending
Dental Numbers
Event Start Date/Time
Event Type:
Portable Medical Equipment Portable Dental Exams Mobile Dental Treatment
Event End Date/Time
| Sheet1 |
| Untitled |
| BrigadeMSC: State Wide |
| Battalion: State Wide |
| G1 MedicalParticipating UnitsUICs: State Wide |
| Event Name: Greenville 9-10 June 2018 |
| Event Street Address: 1401 Memorial Drive |
| Event CityRow1: Greenville, |
| Event StateRow1: NC |
| Event ZipRow1: 27834 |
| Event LocationRow3: |
| Primary POCRow1: 2LT Kahn, Jacquelyn |
| Alternate POCRow1: |
| Phone NumberRow1: 984-664-6804 |
| Phone NumberRow1_2: |
| POC EmailRow1: jacquelyn.a.kahn.mil@mail.mil |
| POC EmailRow1_2: |
| Event Start DateTimeRow1: June 09 2018 0730 |
| Event End DateTimeRow1: June 10 2018 1800 |
| Total Attending: 350 |
| Medical Numbers: 350 |
| Number of FemalesMedical Numbers: 50 |
| Over 40Medical Numbers: 50 |
| NotesRow1: |
| Dental Numbers: 350 |
| Event Type: |
| Attending Day 1: 175 |
| Attending Day 2: 175 |
| Attending Day 3: |
| Portable Medical Equipment Portable Dental Exams Mobile Dental Treatment: 85 Treatment Only |
| G6PDRow1: 5 |
| DNARow1: 5 |
| HIVRow1: 175 |
| PREGNANCY TESTSRow1: Yes |
| LIPID PANELRow1: 20 |
| EKGRow1: 20 |
| FLURow1: 100 |
| HEPARow1: 25 |
| HEPBRow1: 25 |
| TDAPRow1: 20 |
| HEARING EXAMSRow1: Yes |
| SPRINT TESTSRow1: Yes |
| OPTOMERTYRow1: Yes |
| MRRRow1: 15 |
| VARRow1: 15 |
| ORAL SUGURYRow1: Yes |
| Dental Treatment HoursRow1: 70 |
| PercentRow1: 20 |
| PanoRow1: 20 |
| ENDORow1: Yes |
| Additional Notes: |
| Event_Type: [Annual Medical Readiness Event ] |
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