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Form PHS-6379 Supplemental Medical History Record Required of Applicants to or Officers of the Public Health Service Commissioned Corps
What Is Form PHS-6379?
This is a legal form that was released by the U.S. Department of Health and Human Services on May 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form PHS-6379?
A: Form PHS-6379 is a supplemental medical history record required of applicants to or officers of the Public Health Service Commissioned Corps.
Q: Who needs to fill out Form PHS-6379?
A: Applicants to or officers of the Public Health Service Commissioned Corps need to fill out Form PHS-6379.
Q: What information does Form PHS-6379 collect?
A: Form PHS-6379 collects additional medical history information.
Q: Is Form PHS-6379 mandatory?
A: Yes, Form PHS-6379 is mandatory for applicants to or officers of the Public Health Service Commissioned Corps.
Form Details:
- Released on May 1, 2017;
- The latest available edition released by the U.S. Department of Health and Human Services;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form PHS-6379 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services.
Download Form PHS-6379 Supplemental Medical History Record Required of Applicants to or Officers of the Public Health Service Commissioned Corps
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