DATA BASE 10 2020 FINAL.docx
DOCX document 24 KB Posted
- Solicitation number
- 21-426DOC-SOURC-B-16457
- Issued by
- Illinois
About this file
This document appears to be related to a state and local contract opportunity for the Illinois Department of Corrections (IDOC) to secure the supply of medical classification folders, medical folders, and index tabs. The contract seeks a responsible bidder to provide these supplies to IDOC's specifications. The solicitation requires electronic submission of bids, while a physical sample must also be submitted prior to the bid opening. No other details are provided regarding quantities, response dates, award information, or contract term.
The document also includes a detailed medical record template, which appears to be used by IDOC to track offender/youth medical information such as allergies, chronic conditions, food handler status, and immunization records. Pricing terms, set asides, incumbents, funding sources, and other financial details are not included in the provided information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Medical Classification Folder Tab Examples Updated.pdf | ||
| Medical Classification Folders Example.pdf | ||
| Attachment - Notice of Electronic Submission Only v.20.2~23.pdf | ||
| Medical Folders IFB UPDATED 10-28-2020 1.docx | DOCX document | |
| Forms B Section V.20.1~65.docx | DOCX document | |
| Forms A Section V.18.1~96.doc | DOC document | |
| B-16457 - Notice of Award Form Byers SIGNED.pdf |
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Text version
DATA BASE
OFFENDER/YOUTH NAME (Last, First, M.I.)
IDOC NUMBER
| ALLERGIES | CHRONIC CONDITIONS | |
| 1.__________________ | 1._________________________ 4.____________________ | |
| 2.__________________ | 2. _________________________ 5. ___________________ | |
| 3.__________________ | 3. _________________________ 6. ____________________ |
4. __________________ Food Handler Status: Approval or Denial and Date: 1)__________________ 2)______________________3) ______________________ 4)_____________________ Immunizations/Tests/ Screenings
DATE
(month/day/year)
DATE
(month/day/year)
DATE
(month/day/year)
DATE
(month/day/year)
Hepatitis A/B
TWINRIX
| #1 |
| #2 |
| #3 |
Hepatitis A
| #1 |
| #2 |
Hepatitis B
| #1 |
| #2 |
| #3 |
| Haemophilus influenza Type b (HiB) |
| #1 |
| #2 |
| #3 |
| Human Papillomavirus (HPV) |
| #1 |
| #2 |
| #3 |
Seasonal Influenza
Meningitis
| · Men ACWY |
| #1 |
| #2 |
| · Men B |
| #1 |
| #2 |
| #3 |
| Measles, Mumps, Rubella (MMR) |
| #1 |
| #2 |
Pneumococcal
| · Pneumo 23 |
| #1 |
| #2 |
· Pneumo 13
Shingles
| · Recombinant (RZV) |
| #1 |
| #2 |
· Live (ZVL)
Immunizations/Tests/ Screenings Date (month/day/year) Date (month/day/year) Date (month/day/year) Date (month/day/year)
Tetanus, Diphtheria (Td)
Tetanus, Diphtheria, Pertussis (Tdap)
| Varicella |
| #1 |
| #2 |
Sickle Cell
RPR
IGRA TB Lab Test
IGRA Result
TB Screening PPD Administer Date
PPD Reading mm
Abdominal Aortic Aneurysm screening/ultrasound
Chest X-Ray
EKG
Pap Smear
Cancer Screenings
Breast (mammogram)
Cervical
Colon
· FIT
· Multitarget stool DNA
Lung
Prostate
Other:
File details come from the government source that posted it. Updated .