DEPARTMENT OF MARYLAND
Veterans of Foreign Wars of the United States

POST SURGEON'S REPORT

The duties of the Post Surgeon:		You shall be Chairman of the Post Health 
Committee, it will be your duty to promote and direct health programs for the benefit 
of Post members and the community.  You shall perform such other duties in the 
Post as are incidental to your office.

(PLEASE PRINT OR TYPE ALL INFORMATION)

For the month of:  ______________ 20____.       (Report is for first thru last day of month)

DISTRICT NUMBER  _____       POST NUMBER  _______       DATE  ______________

SURGEON'S NAME ______________________________________________________ 

Please check if:	 __________ Post Surgeon		or		    ______ District Surgeon

ADDRESS ______________________________________________________________

CITY and STATE __________________________ 		ZIP CODE________________

E-MAIL ADDRESS _______________________________________________________

Does Post conduct ____ or sponsor ____ a CPR Course?			Members currently certified ________

Does Post conduct ____ or sponsor ____  a Blood Pressure Clinic?	       Number checked this month ____

Does Post have a Diabetes Program ___ Pamphlets? ___ Sponsor a Clinic?  ___   # Checked  _________

Does Post have a Cancer Program ___ Pamphlets? ___  Sponsor Detection Clinic? ___ Checked ______

Has Post conducted _____ or participated _____ in a Health Fair this month?

Number of visits by the Post Surgeon this month to: VA Hospital _________________________________

Number of hours volunteered with VFW VAVS representative ___________________________________

OTHER PROJECTS:

Describe: ___________________________________________________________________________

____________________________________________________________________________________

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Send Reports To:				
Frank Bennett, State Surgeon
War Memorial Building, Room J
101 North Gay Street
        Baltimore, Maryland      21202
										Telephone:		410-391-3748		Cell:  443-240-5766
										Fax:			410-783-2939
Email:    		reportsvfwmd17-18@comcast.net