The results of your medical examination and any information
Supplied by you will be protected according to the Privacy
Act of 1974.

Your cooperation in this important health

study will be appreciated.

Sincerely,

6 Enclosures
1. Locations, VA
Medical Facilities
2. Return Envelope

3.

QUICK-~RETURN FORM

4. QUESTIONNAIRE (Nuclear
Test Participation)

5. Letter to Examining
Physician
6. VA Claims

APPROPRIATE SIGNATURE

Sponsoring Military Department
(NTPR Team Chief)

(Surgeon General or Assistant)

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