Attachment 21h BMI for Deploying DoD Civilians to SWA.pdf

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Occupational Health Services
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SP4702-11-R-0001
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DSCC-DO Date: 5/13/2010

MEMORANDUM FOR RECORD

SUBJECT: BMI FOR DEPLOYING DOD CIVILIANS TO SWA

In accordance with CENTCOM medical policy and BMI Maximum Weight Chart, the following individual (meets/does not meet) the BMI requirements for deploying to SWA:

NAME:

SSN:

WEIGHT:

HEIGHT:

BMI:

_______________ Signature of Health Care Unit Date

DEFENSE LOGISTICS AGENCY

DEFENSE SUPPLY CENTER, COLUMBUS

POST OFFICE BOX 3990

COLUMBUS OH 43218-3990

IN REPLY

REFER TO

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