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Appendix B: Template Predeparture Assessment Form for US Healthcare PersonnelNonEbola disease or Marburg Virus Disease (MVD) Treatment Unit (none/MTU) FacilitiesWorkers name: ___ DOB (mm/dd/YYY):

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What is appendix b template predeparture?

Appendix B template predeparture is a form used to report predeparture information for a specific event or activity.

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Information such as travel dates, destinations, purpose, participants, emergency contact information, and itinerary must be reported on appendix b template predeparture.

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