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U.S. Naval Hospital Sigonella

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Naval Hospital Sigonella Forms

Please contact the clinic for forms you need by calling 624-2273/ 095-56-2773 or by email at usn.sigonella.usnmrtc-sigonell.mesg.pt-admin@health.mil

Defense Health Agency Forms

DHA Form 116: Pediatric and Adult Influenza Screening and Immunization Documentation
DHA Form 207: COVID-19 Vaccine Screening and Immunization Document
DHA Form 236: Pediatric (6 months-11 years) COVID-19 Vaccine Screening and Immunization

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95121 Villaggio degli Ulivi,
Province of Catania, Italy

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Email: usn.sigonella.usnmrtc-sigonell.mesg.customer-relations@health.mil

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