Veterans or Survivors of Veterans who feel they may have been exposed to, or affected by, ionizing radiation while serving the country are urged to complete and submit the attached Medical Questionnaire. This is subject to privacy as noted on the questionnaire. The data is privately maintained for statistical purposes. The U.S. government has never kept such data.

Click here to download the Independent Medical Questionnaire.

Click to download an important amendment.

The questionnaire is supplied as a PDF file.

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