SUBJECT: Medical Evaluation of Nuclear Weapons Test Participants logically with approximate dates. Established diagnoses should be authenticated when possible. An extensive medical, personal, and family history form is attached for your use if desired. The examinee has been asked to use this form to review his own history prior to his examination and to have pertinent information readily available. 5. A complete physical examination should be accomplished, with particular reference to the lymphatic system, liver, spleen, thyroid, and cutaneous structure. A complete blood count and differential should be done, with particular emphasis on cell morphology. A routine chest X-ray should not be accomplished unless the individual has not received one during the past year, or unless the most recent X-ray indicated abnormalities, 6. Abnormalities uncovered by the above examination should receive appropriate investigation; i.e., thyroid studies, further hematologic or biochemical investigations, etc. If these more specialized resourccs are not available at your facility, the usual referral procedures to the medical facility supplying you this support should be utilized. 7. The results of the completed examination should be entered in the examinee's medical record and also forwarded to me and to Dr. Lawrence Hobson, Deputy/ACMO for Research and Development, 81Q Vermont Avenue, N.W., Washington, DC 20420. Standard Forms 88, 93, 513, 514, 515, or other appropriate forms should be utilized. If you find a significant change in health status (new condition or significant deterioration of previously diagnosed condition), and if the participant is not: eligible for continued medical care by your facility, a copy of the findings should be transferred to the health care provider of the participant's choice. Additionally, the participant should be assisted in filing a claim for care or compensation if he desires. 8. On May 9, 1978, at the direction of the President, the Secretary of Health, Education and Welfare formed an Interagency Task Force on Ionizing Radiation. The DoD, the VA, and many other organizations of the Federal Government are participating as part of the Interagency Task Force, which is conducting an extensive review of current medical knowledge of the biological effects of ionizing radiation as weil as Government policy concerning ionizing radiation exposure. Any questions you may have, or any raised by the examinee, which you cannot answer to your satisfaction, should be referred to: Biomedical Advisor Defense Nuclear Agency 6801 Telegraph Road Alexandria, Virginia 22310 Telephone: 202-325-0459 8-§51-0459 (Commercial) (AUTOVON)