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Get Form 475 2015-2024

CESS MAY BE DELAYED. SUBMIT WITH APPLICATION A COPY OF YOUR HONORABLE DISCHARGE OR DD-214. A COPY OF A COMPLETE HISTORY AND PHYSICAL IS REQUIRED. THIS HISTORY AND PHYSICAL MUST BE DATED WITHIN THREE MONTHS FROM THE DATE THE IVH APPLICATION IS RECEIVED. YOUR HEALTH CARE PROVIDER MUST ALSO SUBMIT LAB WORK, IMMUNIZATIONS, YOUR HISTORY OF TESTING AND RESULTS OF RESISTANT ORGANISIMS (MRSA OR VRE), AND PPD (TB TESTING). DATE/MONTH OF REQUESTED ADMISSION The requested date will be accommodated, if poss.

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Keywords relevant to IA Form 475-0409

  • prefunded
  • DVA
  • WAAF
  • MRSA
  • 35D
  • DD-214
  • IVH
  • ORGANISIMS
  • Marshalltown
  • conservatorship
  • WACS
  • SPARS
  • IMMUNIZATIONS
  • accommodated
  • HP
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