Page 30 - DIDC SOPS and Guidelinesv as of April 2019

DIDC Pre-Deployment Worksheet PMO-6018-01-e

Contingency Released Date
Operations 03/06/17 Page 2 of 2

Name (Last, First MI): ____________________________ SSN: _________________________

LABS: ANY ALLERGIES? YES NO

HIV
WARNING TAGS NEEDED TODAY? YES NO

DNA
LIST ALLERGIES:
BLOOD TYPE

G6PD

HCG

TITERS

DNA INFO:

LIST OF MEDS:

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