Attachment E

Attachment B
VHA Directive 10-94-007
January 28, 1994

Survey of Nuclear Medicine/Radioisotope Research in VA
Facilities

Between 1947 and 1960

Please provide the requested information by COB January 21,
1994.  Fill out this survey even if most of your answers are
"no" or "0" as appropriate.

VAMC Name:

VAMC Number:		Region: 1	2	3	4

Person Completing Form:

Telephone Number: (Commercial not FTS)

1. Does your facility have a Nuclear Medicine Service?
Yes	No
	If yes, indicate year the Radioisotope Lab or Nuclear
Medicine Service was established (earliest date).

2. Do you know the amounts and types of radioisotopes used
between 1947 and 1960 at this facility?
Yes	No

3. Do research protocols or research reports from individual
studies conducted at this facility exist for the time period
1947 to 1960?
Yes	No

4. Can you provide information on scientific publications
related to nuclear medicine research done between 1947 and
1960?
Yes	No

5. Do you have any names of individual veterans who were
research subjects during the period between 1947 and 1960?
Yes	No

6. Did your facility contract out any nuclear medicine
research?
Yes	No

7. Did your facility receive or use plutonium in research?
Yes	No

Thank you for completing this form.  Please FAX this form 
to 202-523-3529 and send a hard copy to Dr. Robert E. Allen;
(116); 810 Vermont Avenue, NW; Washington, D.C. 20420. 
Questions can be addressed to Dr. Susan Mather, 202-535-7182.


B-1

Survey of Nuclear Medicine/Radioisotope Research in VA
Facilities
Between 1961 and 1979

Please provide the requested information by COB February 4,
1994.  Fill out this survey even if most of your answers are
"no" or "0" as appropriate.

VAMC Name:

VAMC Number:			Region: 1  2  3

Person Completing Form:

Telephone Number: (Commercial not FTS)

				Extension:

1. Does your facility have a Nuclear Medicine Service?
Yes	No
	If yes, indicate year the Radioisotope Lab or Nuclear
Medicine Service was established (earliest date).

2. Do you know the amounts and types of radioisotopes used
between 1961 and 1979 at this facility?
Yes	No

3. Do research protocols or research reports from individual
studies conducted at this facility exist for the time period
1961 to 1979?
Yes	No

4. Can you provide information on scientific publications
related to nuclear medicine research done between 1961 and
1979?
Yes	No

5. Do you have any names of individual veterans who were
research subjects during the period between 1961 and 1979?
Yes	No

6. Did your facility contract out any nuclear medicine
research?
Yes	No

7. Did your facility receive or use plutonium in research?
Yes	No

Thank you for completing this form.  Please FAX this form to
202-523-3529 and send a hard copy to Dr. Robert E. Allen;
(116); 810 Vermont Avenue, NW; Washington, D.C. 20420. 
Questions can be addressed to Dr. Susan Mather, 202-535-
7182.

B-2