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QUESTIONNAIRE FOR MEDICAL ENROLMENT
On this page appears a facsimile, greatly condensed, of a questionnaire which is now being sent to every licensed physician in the United States and in all its territories. This questionnaire is being sent at the request of the Surgeon Generals of the United States Army, Navy and Public Health Service as part of the plan for preparedness of the medical profession to enable our country to meet any emergency which may arise. The questionnaire was developed with the advice and assistance of the members of the Committee on Medical Preparedness and of the Surgeon Generals. Just as soon as these questionnaires are received in the headquarters office of the American Medical Association the information supplied will be transferred to cards in a punch card system, so that it will be possible by the use of the usual machines to make a selection of physicians capable of serving in various military, naval, industrial or civil capacities.
MEDICAL PREPAREDNESS. JAMA. 1940;115(2):137. doi:10.1001/jama.1940.02810280049016
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