Fayetteville_event.pdf

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Attached to
3rd Quarter Physical Health Assesments
Solicitation number
W91242-18-T-0001
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W91242-18-T-0001.pdf PDF
RFP_W91242-18-T-0001_PPQ.pdf PDF

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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 HBCT
Battalion: 30th HBCT
G1 MedicalParticipating UnitsUICs: 30th HBCT
Event Name: 30th HBCT MRC Clean Up
Event Street Address: 3555 Owen Drive
Event CityRow1: Fayetteville
Event StateRow1: NC
Event ZipRow1: 28306
Event LocationRow3:
Primary POCRow1: Kahn, Jacquelyn
Alternate POCRow1:
Phone NumberRow1: 9199061685
Phone NumberRow1_2:
POC EmailRow1: jacquelyn.a.kahn.mil@mail.mil
POC EmailRow1_2:
Event Start DateTimeRow1: May 5 0800
Event End DateTimeRow1: May 6 1800
Total Attending: 400
Medical Numbers: 226
Number of FemalesMedical Numbers: 40
Over 40Medical Numbers: 40
NotesRow1:
Dental Numbers: see notes
Event Type:
Attending Day 1: 200
Attending Day 2: 200
Attending Day 3:
Portable Medical Equipment Portable Dental Exams Mobile Dental Treatment: Total Dental Exams 238

Total PHAs 226 Total Treatment 149

G6PDRow1: 15
DNARow1: 0
HIVRow1: 150
PREGNANCY TESTSRow1: 40
LIPID PANELRow1: 15
EKGRow1: 15
FLURow1: 0
HEPARow1: 15
HEPBRow1: 15
TDAPRow1: 15
HEARING EXAMSRow1: 300
SPRINT TESTSRow1: Yes
OPTOMERTYRow1: Yes
MRRRow1: 15
VARRow1: 15
ORAL SUGURYRow1: Yes
Dental Treatment HoursRow1: 149 Soldier Treatments
PercentRow1:
PanoRow1: 25
ENDORow1: Yes
Additional Notes:
Event_Type: [Annual Medical Readiness Event ]

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