Transmittal Notice 67-65
The attached material is forwarded to replace those pages in Part 3, Chapter 2 of June 3, 1966 (TN No. 57) which were marked for later replacement by sample forms.
E.S. Rabeau, M.D.
Assistant Surgeon General
Director, Division of Indian Health
Part 3, Chapter 2, Appendix II:
Page 14a, Sample Form PHS-2056-1, Patient Epidemiology and Service Record
"Marker" pages for the above material.
Substitute the attached pages for the superseded ones. Discard the superseded pages.
Distribution: P-ABCDG under d, B, C under d
Date: January 3, 1967
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