OPT OUT Form

OPT OUT Form.pdf

Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) Veterans

OPT OUT Form

OMB: 2900-0765

Document [pdf]
Download: pdf | pdf
Department of Veterans Affairs

Health-Care Use Survey Study
____ I am declining to participate in this study. Please do not contact me again
about the study.
____ I am not an OEF/OIF veteran.
[ID # _____ ]

Sincerely,
Dawne Vogt, Ph.D.
Study Principal Investigator
Health-Care Use Survey Study

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File Typeapplication/pdf
File TitleBold black = OMB questions
Authorvhacobickoa
File Modified2009-10-19
File Created2009-10-19

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