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USES MERCY (TAH 19) Medical/Dental Screening Form for Embarkation Certain medical conditions are not compatible with the shipboard environment and may be beyond the capabilities of the Medical Department
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How to Fill Out USNS Mercy TA-19:

01
Begin by gathering all necessary information and supporting documents required for the form.
02
Carefully read through the instructions provided on the USNS Mercy TA-19 form to ensure you understand the requirements and any specific guidelines.
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Start by entering your personal information accurately in the designated sections of the form, such as your full name, contact details, and social security number.
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Complete the section that requests information about your rank or status within the military or government agency.
05
Provide the necessary details about the event or travel for which you are requesting the use of USNS Mercy, including the purpose, duration, and location.
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Indicate the preferred embarkation and disembarkation ports, ensuring they align with the itinerary for the event or travel.
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If applicable, include any special requests or accommodations needed during the mission, such as specific medical equipment or supplies.
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Ensure all sections of the form are fully filled out and any required signatures or authorizations are obtained.
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Submit the form according to the instructions provided, whether it be online or through a specific submission process.

Who Needs USNS Mercy TA-19:

01
Military Personnel: USNS Mercy TA-19 is typically utilized by military personnel who require the services or resources provided by the USNS Mercy for specific missions, medical operations, or humanitarian assistance.
02
Government Agencies: Certain government agencies may also request the use of USNS Mercy for emergency response efforts, disaster relief missions, or international aid operations.
03
Medical Professionals: USNS Mercy TA-19 may be needed by medical personnel, including physicians, nurses, and other specialists, who are participating in medical mission trips or providing healthcare services in underserved areas.
Note: The individuals or organizations that require USNS Mercy TA-19 will vary depending on the specific circumstances, the nature of the mission or event, and the availability and prioritization set by the responsible authorities.
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The USNS Mercy TAH 19 is a hospital ship operated by the United States Navy.
Medical personnel aboard the USNS Mercy TAH 19 are required to fill out the necessary forms.
Medical personnel must accurately and completely fill out the required information on the USNS Mercy TAH 19 form.
The purpose of the USNS Mercy TAH 19 form is to track medical treatments and services provided on the hospital ship.
Information such as patient diagnoses, treatments received, medications administered, and outcome of treatment must be reported on the USNS Mercy TAH 19 form.
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