April 24, 2014

Peace Corps Watch
peacecorpswatch@gmail.com

RE: FOIA 14-0179

Dear Peace Corps Watch:

This is a response to your Freedom of Information Act (FOIA) request. Specifically,
you are requesting, “Peace Corps Individual Specific Medical Evaluation Forms.
For clarificatings [sic], OMB Control Number: 0420-0550 Attached.”

We have documents which are responsive. Attached, please find 16 documents:

Alcohol_Substance Abuse_Eval
Allergy Treatment
Asthma_Eval
ColonCancer
Diabetes_Diagnosis
Disease Diagnosis Form
Eating_Disorders_Treatment
ECG
EyeglassesPrescription
Insulin Dependent Diabetic Management
Low_Body_Mass
Mammogram_Waiver
Mental_Health_Current
Mental_Health_Treatment Summary
PAP_Screening
Reactive_Tuberculin

No pages have been withheld. We are providing the documents at no cost to you.

If you are not satisfied with this response, you may administratively appeal within 20
working days of your receipt of this letter. The appeal should be addressed to Earl W.
Yates, Associate Director – Management, Peace Corps, 1111 20th Street NW,
Washington, DC 20526. Your appeal must include the FOIA request number and a
statement explaining what you are appealing. It is possible to submit the appeal by
U.S. mail (see above) or fax or email. Note that our fax number is 202-692-1385 and
our email is FOIA@peacecorps.gov. Also, however you submit the appeal, “Freedom
of Information Act Appeal” should be clearly marked on the appeal letter and envelope,
or the email subject line, or the fax cover sheet.







Page Two
FOIA 14-0179



If you have questions, please contact me at 202-692-1904 or FOIA@peacecorps.gov.

Sincerely,

Candice Allgaier
FOIA/PA Specialist


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