235709
This Form is used for Class 3 Patient information in the 59 MDW (Medical Wing) Department.
This Form is used for authorizing quarters for military personnel.
This form is used for determining eligibility for medical treatment.
This document is used for tracking and documenting the progress of patients in the 59th Medical Wing.
This form is used for completing a preoperative checklist for same day surgery.
This Form is used for recording information and assessments related to throat conditions.
This form is used for quality control of dental laboratory services at Lackland.
This form is used for documenting environmental tours in non-clinical areas at the 59th Medical Wing facility.
This form is used for completing a move checklist for the 59th Medical Wing.
This Form is used for conducting fire watch and ensuring safety measures are in place.
This Form is used for transferring prescriptions to a different pharmacy within the 59th Medical Wing.
This Form is used for reporting and documenting sexual assault incidents involving active duty military personnel. It serves as a checklist to ensure all necessary information is collected.
This Form is used for reporting and documenting sexual assault incidents involving non-active duty personnel within the 59th Medical Wing.
This form is used for documenting and reporting sexual assault incidents involving minors who are 18 years old or younger.
This document is used for conducting monthly inspections at a medical clinic to ensure compliance with regulations and maintain a safe environment for patients and staff.
This document is used for obtaining the commander's authorization for the USAF Corneal Refractive (Crs) Program.
This Form is used to checklist off-duty employment for medical technicians in the 59th Medical Wing.
This document is a managed care agreement for refractive surgery. It outlines the terms and conditions for receiving this type of surgical procedure through a managed care program.
This Form is used for applying for corneal refractive surgery related to aviation duty in the US Air Force.
This document is used for reporting government property damage and associated costs resulting from aircraft or equipment mishaps/incidents.
This form is used for gathering the medical history of patients undergoing refractive surgery.
This Form is used for gathering patient information specifically for refractive surgery at the Wilford Hall Ambulatory Surgical Center.
This Form is used for applying for corneal refractive surgery in the USAF Warfighter program.
This Form is used for reporting lost or missing tools within the 60th Air Mobility Wing.
This form is used for reporting incidents of foreign object damage (FOD) and dropped objects (DO) at the 60th Air Mobility Wing.
This document allows individuals in Pennsylvania to waive certain confidentiality provisions in legal agreements or contracts.
This form is used for reporting the sale of cigarettes to tax-exempt organizations in Pennsylvania during a specific month.
This form is used for the monthly reporting of cigarettes and cigarette tax stamps by resident stamp affixing agencies in Pennsylvania. Residents and agencies can submit this form to report their activities related to the sale and distribution of cigarettes and tax stamps.