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DND/CAF COVID-19 Operational Testing Request Form

Part 1 – To be completed by requesting organization

Requesting organization

  • VCDS
  • SJS DOS
  • Comd RCN
  • Comd CA
  • Comd RCAF
  • MPC
  • CJOC
  • CANSOFCOM
  • CANELEMNORAD
  • DComd JFC Naples
  • CFINTCOM
  • JAG
  • ADM (Pol)
  • ADM (Mat)
  • ADM (IM)
  • JAN
  • FEB
  • MAR
  • APR
  • MAY
  • JUN
  • JUL
  • AUG
  • SEP
  • OCT
  • NOV
  • DEC
  • ADM (IE)
  • ADM (Fin)
  • ADM (S&T)
  • ADM HR-Civ
  • ADM (RS)
  • ADM (DIA)
  • ADM (PA)
  • CFLA
  • Corp Sec
  • ED NSIROCS
 

Point of contact

  • Staff officer
    • Name
    • Phone / Email
  • Med authority consulted
    • Name
    • Phone / Email

Total testing required by CDS/DM Operational Testing Priorities and categories of personnel

  • Personnel
    • CAF
    • DND, GoC, CFMWS
    • Contractors
  • Priorities
    • Operational
    • Force Generation
    • Normal activities
  • Sub-total
  • Total

Part 2 – To be completed by requesting organization's Senior Medical Authority

Substantiation by CDS/DM Operational Testing Priorities

  • Operational
    • Free text
  • Force Generation
    • Free text
  • Normal activities
    • Free text

Part 3 – To be sent to CFHS GP by requesting organization's Senior Medical Authority

COVID-19 Operational Testing request form will be sent to CFHS Gp via: ++Testing Coordination Cell - Cellule Dépistage@CMP DHSO@Ottawa-Hull or TestingCoordinationCell-CelluleDepistage@forces.gc.ca

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2020-10-20

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