Exhibit_14d_RHRP-3_Post_Event_Report_4.4.2.3.xls
XLS spreadsheet 61 KB Posted
- Attached to
- Special Notice-Amendment 0009
- Solicitation number
- W15QKN-17-R-1042
About this file
This document includes a federal contract opportunity notice and related post-event report file. The contract opportunity notice is for Reserve Health Readiness Program III health readiness services to support the reserve components of the military services. Services required under the potential five-year indefinite delivery, indefinite quantity contract include immunizations, physical examinations, dental services, laboratory tests, and other health assessments. The contract would have both fixed-price and cost-reimbursement task orders issued by the Defense Health Agency through the Army Contracting Command-New Jersey Warfighter Support. Services are to be provided nationwide including at group events and through a call center and clinic network. The anticipated solicitation number is W15QKN-17-R-1042 with an expected issue date of September 30, 2017. The related file appears to be a post-event report template to capture health services provided under previous Reserve Health Readiness Program contracts.
exhibit 14d
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Text version
Event Information
| RHRP Post Event Report | ||||||||||||
| Group Event ID | AVS ID | Event Start Date | Event End Date | |||||||||
| Reporting Customer | UIC | |||||||||||
| Event Location | ||||||||||||
| POC Name | Phone | Alt. Phone | ||||||||||
| SFC Ray | ||||||||||||
| Heading | Service Description | Requested | Completed | Attendance Rate | Class 1 | Class 2 | Class 3 | |||||
| Audiograms | ||||||||||||
| Dental | ||||||||||||
| Immunizations | ||||||||||||
| PHA |
&L&C&R
Dental
| RHRP Dental Orders | ||||||||
| Service Date | Service Type | Last Name | First Name | UIC | Last 4 SSN | Order Status | Exam Dental Class | Class Change after QA Review |
&L&C&R
Immunization and Lab
| RHRP Immunization and Lab Orders | ||||||
| Service Date | Service Type | Last Name | First Name | UIC | Last 4 SSN | Order Status |
&L&C&R
Audio
| RHRP Audio Orders | |||||||
| Service Date | Service Type | Last Name | First Name | UIC | Last 4 SSN | Order Status | Hearing Readiness Class |
&L&C&R
Vision
| RHRP Vision Orders | |||||||
| Service Date | Service Type | Last Name | First Name | UIC | Last 4 SSN | Order Status | Eyewear Needed |
&L&C&R
PHA
| RHRP PHA Orders | ||||||||||||
| Service Date | Service Type | Last Name | First Name | UIC | Last 4 SSN | Additional PHA Services Needed | Focus Exam | New PULHES | Category Code(s) | Profile Type | Previous PULHES | Previous Category Code |
&L&C&R
DD Form 3349
| RHRP DD Form 3349 Detail | ||||
| Last Name | First Name | Last 4 SSN | Birth Date | Block 8 Text RE: Condition and Expected Date of Resolution |
&L&C&R
File details come from the government source that posted it. Updated .