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File: 102596_sep96_decls7_0003.txt
Subject: MEDICAL CAPABILITIES OF USNS MERCY
Unit: USNS MERCY
Parent Organization: NAVCENTCOM
Box ID: BX300052
Folder Title: USNS MERCY FOLDER 3 CNA 2912
Document Number: 20
Folder SEQ #: 4
UNCLASSIFIED
lot* it
tilo **tits
h A V A L M E S S A 6 E
D E P T 0 F N A V Y
7* (U) TO REQUEST SERVILES9 SEND THE FOLLOWING INFORMATION:
FM: (NAME OF COMMANE)
TO: MEOTRE FAC MERCY
INFO: CTG CtE FIVE ZLRO FT THREE
CONFIDENTIAL//ND600C//
SUBJ: REQUEST FOR MEDICAL SERVICES
A. PASS TO LT A*Ao UACKSCN* MSCT USN9 HEAD9 PATIENT ADMINISTRATION
Be POSITION (SHIP S POSITICN)
Co PATIENT INFORMATION
lo COMMANC:
2* NAME/SSN:
3o SERVICE REQUESILC:
49 DIAGNOSIS: (ICC-9-CM CODE* IF KFVCWN)
59 PROGNOSIS:
69 STATUS: (INPATILNT/OUIPATIENT9 LITTER/AMBULATORY)
8* (U) ALL PERSONNEL S@GULD BE UNARMED AND MUST HAVE ORDERS9 ID CARD
AND HEALTH/SVC/PAY RECCROS (IF INPATIENT)* IF THE UNIT S MEDICAL
OFFICER SUSPECTS PERSCHNEL S CONDITION MAY REQUIRE HOSPITALIZATION OR
TREATMENT IN ENCESS OF 30 DAYST THEN PERSONAL EFFECTS SHOULD
ACCOMPANY THE FERSONNELM IF OUTPATIENTs HEALTH RECORD ONLY IS
NECESSARY* MERCY HAS NC ORGANIC HELD ASSETS* TRANSPORTATION MUST
BE ARRANGED BY PARENT COMMAND*
99 (U) POC THIS CMD IS LT A@Ao JACKSONG MSCE USN.
10* (U) RELEASED BY CDR E-Ro GHENT* HEAD9 HOSPITAL ADMINISTRATION*//
DECL OADR// BT
MCN=90275/21428 TOF=90275il247Z TAD=90275/1303Z CDSN=NFPC60
PAGE 03 OF 03
01173OZ OCT 90
UNCLASSIFIED
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Document 3 f:/Week-36/BX300052/USNS MERCY FOLDER 3 CNA 2912/medical capabilities of usns mercy:1018961451369
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX300052
Unit = USNS MERCY
Parent Organization = NAVCENTCOM
Folder Title = USNS MERCY FOLDER 3 CNA 2912
Folder Seq # = 4
Subject = MEDICAL CAPABILITIES OF USNS MERCY
Document Seq # = 20
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 18-OCT-1996