letter, which is a complete listing of VA medical facilities
r
and telephone numbers.
Enclosures 2-4 are a postage-paid envelope,
FORM
a QUICK-RETURN
(to tell us whether you want a medical examination),
and a QUESTIONNAIRE
test participation).
(to provide us data on your nuclear
If you desire a medical examination,
please schedule an appointment with the nearest VA facility,
complete the QUICK-RETURN FORM, complete or update the
QUESTIONNAIRE, and return them to us
envelope as soon aS possible.
in the postage-paid
If you experience difficulty
in scheduling an appointment, please advise us so that we
can assist you.
Should you elect not have the medical examina-
tion performed,
this does not preclude your requesting an
examination at a later date, and we would appreciate your
returning the completed QUICK-RETURN FORM and QUESTIONNAIRE
for
our
records.
Enclosure 5 is a letter to the physician who will perform
the examination, and should be presented by you to the
examining physician at the time of your appointment.
The
attachment to the letter for the physician is a MEDICAL
HISTORY FORM.
You can save time and provide valuable assist-
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ance to the examining physician if you use the MEDICAL