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TO RUHHD“A/C UT G ENEWETAK “A2SH ALE ISLANDS
INFO ZEN/SONAADOE COOFDINATOR KWAUALE YY (UAVLf
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RUWTFBE/SCPR ROONA KISTEAW 4FS N™ SER ZSS
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SUPJECT. “ED WAL REFFOCALS OF TTOL NCN-CONT? ACT PERSONNEL
THIS TS SPEC TF ICALLY WITH CE FEPE VCE TA THE REFERFAL OF
(SEE YOU? POTIEBVAZ MAP. 2 MESSACE) BUT MORE
CENE SALLY ON THE TOPTC OF ¥EPT CAL REFERRALS OF ALL TTPI
CITIZENS NOT UNDER CONTR«¢CT AF ENE RE TAK TO POOJECT CONTRACTORS.
€1) AGREC™ENT NO. HD1162-7 71457-1509 BETSEEN TTP IF AND FCONA EXECUTED ON
QOEC 159 T1977 e PROVIDES FSC? CERTAIN SUPPORT SFOVICES.
ITEM Tle “EN EAL e® AT PG. Te NEISCUSSES EMERGENCY MEDICAL
EVACUATION. THE AGREEMENT STIPULATES THAT IF SERVICES AT
ENEWFETAK ACE FOF TERMINEO TNANE CUATE BY THE HICOM REPpe PATIENTS
PAGE 2 RUHHP AA 379? UNCLAS
WTtk SE “OVED TO ADE RUATE FACILITY ON A SCE IMBURSASLE BASIS."
C2) THE CETESIMNATION CF ATE QUACY OF FNEWETAK*S YE DICAL FACILITY
"USTs OF NECESSTTYs 8& DETERMIMEN CN & CASE SY CASE PASTS.
THE YEALTH AT) AF JAPTAN IS AUTHOPIZENs BY MARSHALL ISLARDS
GOVEONMENT WFR YY CONCUFRENCT « T9 MAKE SUCH DETESMINATIONS
WITH REG8SRO TO NOM-CONTRACT TTF PERSONNEL (TE JAPTAN CO“MUNITY PERSONS
PLUS SUPPORTING STAFF AND TFHET? CE PENDENTSI. THE IMPCRTARCE
OF THE DISTI*C TIOV SETWEEN “WEEP SENCY® VISA VIS
ROUTINE PFFERZAL AND ADE SUACY OF EYE WE TAK
MEQLTCAL FACTLITIES TS THEREFORE CRITICAL AND TRE PROPER SUBJECT
OF JAPTAN HEAL TH ATID OeTERMEXSATION WHENEVER POSSISLE.
(3) THE “FPA CTURE OF
.e A CATIENT IN YOUR CLINIC FO? SEVERAL
DAYS PRIOR TO CUR APRI VAL AT ERT AE TAKe WAS ACCCOMPLISFED IN A
MANNER WHICH WVEITHER CONFOR™“S T7 TRE TTP Y/SFCANA AGREEMENT?
NOR TOOK INTO ACCOUNT PRIN «MR ADVICE OF INABILITY TO TREATS
EVALUATE FURTHER AND TIPIS¥A2SEALLS
GOVERNMENT RESPONSTSILITIES ANNO AUTHORITY. THE ULTIMATE MECISION
FA REFER’ THE PATIENT TO T?IPLE® APMY MEDICAL CENTER FROY KWAJALEIN
SY THRE M49SHSLL ISLA"OS GOVESNYENT QOES NOT CHANGE THAT FACT.
(&> COMFOP MT TY SAITH FPPLICASLE ACREEMENTS HAS REMAINED A GUIEDING
NETERMINA NT IN THE SUCCESS OF THE JOINT ENEWETAK EFFORT. HOWEVER?
AQVANCE PLANSTNG ANDO COOPDINATION TO ANTICIPATE THE USE OF

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