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MSD's Clinical Assessment Form: Travel INTO Ebola Outbreak areas 25 August 2014 Division Medical DE organization DES Nations Units Formula ire evaluation Clinique DES functionaries DES Nations Units
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How to fill out pre-deployment health assessment

01
Start by obtaining the pre-deployment health assessment form from the appropriate authority or organization. This form is typically provided by military or government agencies to individuals who are being deployed for military service or certain types of overseas work.
02
Read the instructions carefully before starting to fill out the form. These instructions will guide you through the process and provide important information on how to accurately complete each section.
03
Begin by providing your personal information, including your full name, date of birth, social security number, and contact information. It is important to ensure that this information is correct and up to date.
04
Proceed to the medical history section of the form. This section typically asks about any pre-existing medical conditions, surgeries, hospitalizations, allergies, and medications. Provide accurate and detailed information about your medical history, as it will help healthcare professionals assess your health and determine any potential risks or concerns.
05
Answer all the questions regarding your current health status. These questions might include inquiries about recent illnesses, injuries, or symptoms. Be honest and provide as much detail as possible to ensure an accurate assessment.
06
If you have any specific concerns or conditions that you believe are relevant to your deployment, make sure to provide additional information in the appropriate section of the form. This could include mental health issues, special dietary needs, or any disabilities that may require accommodations.
07
Sign and date the form once you have completed all the sections. Verify that all the information you have provided is accurate and up to date before submitting the form.
Who needs pre-deployment health assessment?
01
Military personnel: Pre-deployment health assessments are typically required for all military personnel before they are deployed to a foreign location. This helps ensure that they are medically fit to carry out their duties and can receive any necessary medical care or accommodations while deployed.
02
Government contractors: Certain government contractors, especially those involved in overseas projects or work in high-risk environments, may be required to undergo pre-deployment health assessments. This ensures that they can handle the physical and mental demands of their assignments and receive appropriate medical support if needed.
03
Civilian employees: Some organizations or companies may require their civilian employees to complete pre-deployment health assessments if they are being sent to a foreign location, particularly in high-risk areas. This helps ensure the employees' well-being and provides necessary medical information in case of emergencies or health-related incidents during deployment.
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