Exhibit I_GE Planning Template.pdf
PDF 120 KB Posted
- Attached to
- Remote Health Readiness Program 4 (RHRP-4) Federal contract opportunity
- Solicitation number
- HT001125R0020
- Issued by
- Defense Health Agency
About this file
This is a Group Event Planning Template for coordinating medical screening events under the Remote Health Readiness Program (RHRP-4) contract. The template is marked as CUI (Controlled Unclassified Information) and serves as a detailed planning document for organizing SHPE (Separation History and Physical Examination) events.
The template contains sections for capturing essential event logistics including POC information, event dates/times, personnel counts (with 10% allowance for walk-ons), and required medical services like audiograms, HEP C testing, and optional HIV screening. It specifies contractor staffing requirements (event coordinators, providers, administrators, phlebotomists, hearing conservation technicians) and necessary equipment (laptops, printers, centrifuge, blood draw equipment, audiogram trailer). Additional planning elements include setup details, security requirements, documentation procedures (DD Forms 2807-1 and 2808), and coordination items like military provider presence, LOD/referral management, and attendee briefings. This is strictly a planning template without any specific event details filled in.
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Text version
RHRP-4 Exhibit I_GE Planning Template
CUI
Service Component POC Unit POC Alternate Unit POC Contractor POC
Event Location
Event Start Date Event End Date Event Hours Total Personnel Per day
Total Personnel **10% allowance for walk-ons
Totals Notes
SHPE
Audiograms HEP C (Optional/Vendor has supplies/testing)
HIV
Event Coordinator(s) (provide count and contact info as necessary) Provider(s) (provide count and specialty) Admin Prsnl (provide count and role as necessary)
Phlebotomist(s) (provide count as necessary) Hearing Conservation Technician (provide count as necessary)
Vitals Technician (provide count as necessary) Lunch Break (Is a lunch break needed, will it be a working lunch, etc?)
Laptops (include number required) Hep C Education Materials Wireless Internet Hotspot (WIFI) Printer Centrifuge Blood Draw Equipment Audiogram Trailer
Mandatory Items
Contractor Staffing and Equipment Plan
Contractor Provided Equipment
Group Event Planning Template Event and POC Info
SHPE Events Components Ordered
Staffing
Optional
RHRP-4 Exhibit I_GE Planning Template
Equip Ship Date Set-up Date Equip Arrival Event Day Set up Gate Access Instructions Other
Physical Security Requirements
Instructions for SM Access to DD 2807-1 Paper Backups Available DD Form 2808 Hep C noted on doc Audios documented Docs signed with credentials Paper copies available
Will a military provider be on-site during event?
How will LODs and referrals be managed?
When will walk-through be conducted?
Who will brief attendees?
Unit Event Details
Set Up Details
SHPE EXAM - Items for Discussion
Are all of the final, combined SHPE documents complete and provided to the unit POC?
Pre-Planning
File details come from the government source that posted it. Updated .