As a service to test participants, and as an initial effort in obtaining medical data, the DoD implemented a pilot medical examination program in March 1979. Individuals with recorded film badge exposures attributable to atmos- pheric nuclear tests in excess of 25 rem were contacted and offered the opportunity to request medical examinations in Government facilities. The program is now being expanded to include participants with exposures in excess of 5 rem per year. According to our records, you received rem during (period of time). (number) While there is no indication that this is a medically significant dose, it does represent a value which may have been in excess of some standards. Therefore, you may wish to avail'yourself of this expanded medical examination program. If you wish to have a status report on your health and to assist us in obtaining medical data, you may request a medical examination by calling the nearest medical facility of the Veterans Administration (VA). You may determine the closest facility by referring to Enclosure 1 to this letter, which is a complete listing of VA medical facilities and telephone numbers.