19_DURHAM_21-22_JAN_2017.pdf

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PHA Events- NC
Solicitation number
W91242-17-R-0002
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Durham Medical Event Details

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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: 30th ABCT
Battalion: 236 BEB
G1 MedicalParticipating UnitsUICs: HHC,C,D 236th BEB.E Co 230th BSB
Event Name: DURHAM 21-22 JAN 2017
Event Street Address: 801 Stadium Drive
Event CityRow1: Durham
Event StateRow1: NC
Event ZipRow1: 27704
Event LocationRow3:
Primary POCRow1:
Alternate POCRow1:
Phone NumberRow1:
Phone NumberRow1_2:
POC EmailRow1:
POC EmailRow1_2:
Event Start DateTimeRow1: January 14 2017 0730
Event End DateTimeRow1: January 15 2017 1700
Total Attending: 300
Medical Numbers: 300
Number of FemalesMedical Numbers: 30
Over 40Medical Numbers: 20
NotesRow1:
Dental Numbers: 300
Event Type:
Attending Day 1: 150
Attending Day 2: 150
Attending Day 3:
Portable Medical Equipment Portable Dental Exams Mobile Dental Treatment:
G6PDRow1: 5
DNARow1: 5
HIVRow1: 150
PREGNANCY TESTSRow1: 30
LIPID PANELRow1: 20
EKGRow1: 20
FLURow1: 0
HEPARow1: 15
HEPBRow1: 15
TDAPRow1: 7
HEARING EXAMSRow1: yes
SPRINT TESTSRow1:
OPTOMERTYRow1: no
MRRRow1: 20
VARRow1: 20
ORAL SUGURYRow1: yes
Dental Treatment HoursRow1: 50
PercentRow1: 20
PanoRow1: 30
ENDORow1: yes
Additional Notes:
Event_Type: [Annual Medical Readiness Event ]

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