Soldiers Privacy Act Statement Form PDF Details

The Soldier's Privacy Act Statement serves as a crucial document designed to safeguard personal information within the military context, ensuring that a soldier's Social Security Number (SSN) and other personal data are securely managed and disclosed only for official duties. This form explicitly authorizes designated individuals, typically within a soldier's chain of command, to hold sensitive personal information with the promise of confidentiality and restricted access in line with their official responsibilities. The form acts not only as a consent form but also establishes a framework for how personal information is to be handled, reflecting the military's commitment to privacy and the responsible management of personal data. Additionally, it lists key personnel within the soldier's chain of concern, making transparent the hierarchy and the specific individuals authorized to access this sensitive information. Moreover, the form encompasses a section on daily personnel status, offering a comprehensive snapshot of personnel allocation, attendance, and various statuses like duty, leave, or hospitalization, reinforcing the form's role in operational planning and personnel management. Through this structured approach, the Soldier's Privacy Act Statement form balances the operational needs of the military with the privacy rights of its members, ensuring that personal information is handled with the utmost care and respect.

QuestionAnswer
Form NameSoldiers Privacy Act Statement Form
Form Length50 pages
Fillable?No
Fillable fields0
Avg. time to fill out12 min 30 sec
Other namesKentucky, army privacy act statement pdf, Tennessee, ACS

Form Preview Example

SOLDIER’S PRIVACY ACT STATEMENT

The personnel listed below authorized ______________________ to maintain their

SSN and personal information in his/her Leader’s Book with the understanding that

this information will not be disclosed except in the line of his/her official duties.

NAME

SSN

SIGNATURE

DATE

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CHAIN OF CONCERN

Squad Leader Name :

Address

Telephone

Platoon Sergeant Name :

Address

Telephone

Platoon Leader Name :

Address

Telephone

1SG

Name :

Address

Telephone

Commander

Name :

 

 

Address

Telephone

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DAILY PERSONNEL STATUS

Date: ___________

 

Off

NCO

ENL

Total

Authorized

_____

_____

_____

_____

Assigned

_____

_____

_____

_____

Present for Duty

_____

_____

_____

_____

Absent from Duty

_____

_____

_____

_____

TDY

___________

Other

___________

Unsat

___________

On Duty

___________

PASS

___________

Out Processing

___________

In Processing

___________

Hospital

___________

Profile

___________

Conv Leave

___________

Appt

___________

WIA

___________

KIA

___________

AWOL

___________

MIA

___________

LEAVE

___________

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SQD POSITION

RANK

NAME

SSN

BLOOD

DOR

BASD

ETS

TEAM/SQUAD/SECTION/PLATOON

TRAINING

TASK NUMBER

&

SHORT TITLE

NAME

DAT

DAT

DAT

DAT

DAT

DAT

DAT

DAT

DAT

DAT

 

E

E

E

E

E

E

E

E

E

E

 

TPU

TPU

TPU

TPU

TPU

TPU

TPU

TPU

TPU

TPU

 

 

 

 

 

 

 

 

 

 

 

 

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RANK

NAME

LAST FOUR

WEAPON TYPE

 

 

SERIAL NUMBER

OPTICS TYPE

SERIAL NUMBER

NODS

SERIAL NUMBER

CREW/TEAM/SQUAD/PLATOON

TRAINING STATUS

RANK

NAME

SCORE

M60

DATE

ZERO

 

M2

 

MK19

 

 

 

 

 

 

 

SCORE

DATE

ZERO

SCORE

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

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INDIVIDUAL TRAINING STATUS

RANK

NAME

 

APFT

 

 

 

CTT

 

 

 

 

 

 

 

PUSH

SIT

2-MILE RUN

SCORE

DATE

GO

DATE

 

UP

UP

/NOGO

 

 

 

 

 

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RANK

NAME

PROFILE

START DATE END DATE

END REC DATE

RANK

COUNSELING

 

 

 

 

 

 

 

 

 

 

NEXT

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

INITIAL

 

 

PERFORMANCE

 

 

PERFORMANCE

 

 

 

 

COUNSELING DATE

 

 

COUNSELING DATE

 

 

COUNSELING DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DUE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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NCOER

RANK

NAME

DEROS

TYPE

LAST

THRU

SUS TO COMPANY

STATUS

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UNRESOLVED SOLDIER ISSUES

RANK

NAME

ISSUE

DATE – STATUS –

FOLLOW-UP

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AWARDS

RANK

NAME

DEROS

MSM

85 DAYS

ARCOM

75 DAYS

AAM

40 DAYS

DATE TO

COMPANY

TYPE

STATUS

REMARKS

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PLATOON EQUIPMENT DENSITY LIST

_________

REMARKS

BUMPER NO.

NOMENCLATURE

MODEL

SERIAL NO.

SVC DATE

ASSIGNED DRIVER

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AFTER ACTION REVIEW

PLAN

Establish objectives for AAR

Select qualified observers

Review the training and evaluation plan

Identify the participants

Plan stop points during exercises for AAR's

Make potential site selections

Select training aids

Draft an AAR plan

Review the unit's training objectives and plan

PREPARATION

Review the training objectives, orders, and doctrine

Observe the training

Organize the selected AAR Site

Collect information from the observers

Develop a discussion outline

Organize and rehearse

CONDUCT

Restate the unit's mission and event's training objectives

Generate discussion

Orient on training objectives

Seek maximum participation

Continually summarize to emphasize key learning points

LEADERS TIP: If possible, write down soldier's feedback (sustain/improve) on butcher paper mounted on easel. Soldiers are more active in providing feedback if they see you care enough to write down their comments.

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SAMPLE 5 PARAGRAPH OPERATION ORDER

1.Situation

a)Enemy Forces

1)Situation (enemy, weather and terrain).

2)Capabilities.

3)Probable course of action.

b)Friendly Forces.

1)Mission of Next higher unit.

2)Mission of adjacent units (left, right, front, rear).

3)Mission and location of supporting elements.

c)Attachments and Detachments.

2.Mission, Who, What, When, Why and Where (coordinates).

3.Execution.

a)Concept of Operation.

1)Scheme of maneuver.

2)Formation.

3)Route.

4)Tactical Missions to subordinate Units.

b)Subunit Subparagraphs.

c)Coordinating Instructions.

4.Service Support.

a)Supply.

1)Rations.

2)Uniforms and Equipment.

3)Arms and Ammunition.

4)Captured Materiel.

b)Transportation.

c)Medical Evacuation.

d)Personnel.

e)Prisoners of War.

5.Command and Signal.

a)Signal.

1)Frequencies and Call Signs.

2)Pyrotechnics and Signals.

3)Challenge and Password.

4)Code Words.

b)Command.

1)Command Leader Location.

2)Chain of Command.

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SECTION STRIP MAP TO HOME

NAME : __________________________ SECTION : _______________ DATE : ____________

ADDRESS : _______________________________________ PHONE # : ____________________

NOTE: If you reside in the barracks then annotate the BLDG/ROOM # you live in.

MAP :

INSTRUCTION :

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INPROCESSING CHECKLIST

 

TRAINING ROOM/ SUPPLY

 

 

 

 

___ COPY OF ORDERS

___COPY OF DD93

___COPY OF SGLI

___COPY OF ERB

___PERSONAL DATA SHEET

___UPDATED ALPHA ROSTER

___UPDATED PERSTAT

___HERO PHOTO

___UPDATED PERSONEL TRACKER/ BR#

___ASSIGN ROOM

___ISOPREP (PHOTO/PROFILE

) ___AASLT QUALIFIED

___RFI

___COLLECT ALL ACU SIZES

___ADD SM TO ADO ROSTER ___MILITARY LISCENSE

PLATOON

___BUILD COUNSELING PACKET

___1ST LINE SUPERVISOR COUNSELING

___PLATOON SERGEANT COUNSELING

___GET SOLDIER SETTLED IN ROOM AND SET UP WITH BATTLE BUDDY

___SUICIDE COUNSELING

ENSURE THE SOLDIER HAS THE FOLLOWING:

___TOURNIQUET FOR LEFT LEG POCKET (PER SOP)

___RFI ITEMS

___7 MAGAZINES

___RHINO MOUNT/J-ARM/BASE PLATE

___WEAPON W/OPTICS AND LASER THAT WORKS

___NVGS ARE OPERATIONAL

___ALL SI IS INVENTORIED BY SERIAL # AND COPY TURNED INTO SFC JONES AND XO

___ISSUE PLATOON EUIPMENT

___TA-50 PUT TOGETHER AND INSPECTED TO BRIGADE STANDARD

___MYPAY/ FINANCE (CONFIRM ALL PAY INTITTLEMENTS AFTER 30 DAYS)

SOLDIER WILL MEET THE FOLLOWING CRITERIA

OSOLDIER WILL CONFIRM ZERO WITH ASSIGNED WEAPON

OSOLDIER WILL KNOW ALL THE POINTS OF ADJUSTMENT FOR HIS ASSIGNED NVGS AND CONFIRM THEY ARE WORKING PROPERLY

OSOLDIER WILL KNOW HOW TO READ A MAP/ BE ORIENTED TO THE TERRAIN BY CARDINAL DIRECTIONS AND KNOW BY NAME THE FOLLOWING MOUNTAINS (INDIANS, METS, BLUE JAYS, MARINERS, ANGELS, JETS, DODGERS, RED SOX, SENATORS, AND GIANTS)

OSOLDIER WILL KNOW HOW TO ASSEMBLE, DISASSEMBLE, PUT INTO ACTION, PERFORM A FUNCTIONS CHECK, AND CORRECT A

MALFUNCTION FOR THE FOLLOWING WEAPONS:

1. M249 / M240B /MK48 / M2-50CAL / MK19 / M320 / AND ASSIGNED WEAPON

2.AT-4 / SMALL-D / LAW / JAVELIN

OSOLDIER HAS A GOOD UNDERSTANDING OF ALL OPTICS IN TOWERS TO INCLUDE BUT NOT LIMITED TO THE FOLLOWING:

1. PVS-14S / PAS-13S / CLUS / ITAS / CROW / VIPERS

OSOLDIER CAN PUT AN ASIP RADIO INTO OPERATION, TROUBLE SHOOT COMS ISSUES AND CAN SPEAK ON/ THROUGH MIC:

1.PUT IN FREQS/ CHANGE CHANNELS

2.INSTALL AND SWAP OUT HAND MIC

3.INSTALL AND SWAP OUT ANTENNAS

4.INSTALL AND SWAP OUT BATTERIS

OSOLDIER HAS CONDUCTED NO LESS THAN 4 HOURS OF MOVEMENT UNDER NVGS DURING HOURS OF LIMITED VISIBILTY (BETWEEN HOURS OF 2100 AND 0300)

OSOLDIER HAS ZEROED HIS NIGHT OPTICS (CO-WITNESS) AND CONFIRMED THROUGH ZEROING DURING LIMITED VISIBILITY

OSOLDIER HAS BEEN TAUGHT ALL PLATOON SOP AND HAND AND ARM SIGNALS

OSOLDIER KNOWS THE PRINCIPLES OF PATROLLING

OSOLDIER HAS CONDUCTED THE FOLLOWING BATTLE DRILLS:

1.REACT TO CONTACT

2.REACT TO AMBUSH

3.WITHDRAW UNDER PRESSURE

OSOLDIER KNOWS HIS ACTIONS AT THE FOLLOWING:

1.DURING MOVEMENTS AND AT HALTS / AT DANGER AREAS / IN THE PATROL BASE / AND ON THE OBJECTIVE

SOLDIER SIGNATURE__________________________ DATE _____________

NCO SIGNATURE _____________________________ DATE _____________

Pre-Combat Inspection (PCI)

Individual PCI Checklist

Leader PCI

 

ACH Helmet (IAW BDE SOP)

NODs (Mounted, Functional, and Tied down to IBA (IAW BN SOP)

Ballistic Eye Protection

ID Card / ID Tags

Weapon (Zeroed, clean, function test, sling attached properly)

Optics (Tied Down, Zeroed, PMCS, Extra Batteries )

Lasers (Tied Down, Field Expedient Zero, Extra Batteries)

Magazines / 6 ea, 30 rounds per

Weapons cleaning kit

IOTV/IBA Complete, W/Neck Collar, Throat Collar, Groin Protector, DAPS, ESAPI, Plates, Side Plates, Name Tap, Rank

IFAK ( See attached inventory list)

1 Quart Canteen at a minimum.

MREx1

Flame Retardant Gloves. Fingers will not be cut out.

Pen / Paper

Flashlight

Compass

Briefed on current mission

Extra socks

Graphics/ GRG

Communication ( IMBTR, Icom)

Commo Card

Map, protractor, compass

Binoculars

Sensitive Items List

Whistle

Alcohol pens

Report Formats (9-line, IED/UXO, Vehicle Recovery, SALUTE, BOLO, Patrol Debrief, Combat Patrol Manifest, BDE PCI/PCC Checklist Reference CTB CP SOP Version3)

Sector Sketches pre-formated

Pre-Combat Inspection (PCI)

Improved First Aid Kit (IFAK)

Tourniquet, Combat Application

2ea

Bandage , Hemorrhage control ( in country)

1ea

Bandage GA4-1/2” 100s

1ea

Adhesive Tape Surg 2” 6’s

1ea

Airway, Nasopharyngeal, 28Fr, 12s

1ea

Glove, Patient Exam 100’s

4ea

Dressing, Combat Gauze

Needle Decompression Device

Casualty Feeder Cards

Mortuary Affairs Kit

4 Pouch Human Remains

15 Bio Hazard Bags

Latex gloves , 20 (Lrg) 10 (Med)

4 Personnel effects bags

10 Shoe tags

Medical Masks

Witness Statements DA 1156 (1 x Patrol Member)

Sworn Statements DA 2823 (1 x Patrol Member)

EFR Packing List

Scissors, Bandage .25”

1ea

CAT (Combat Application Tourniquet)

6 ea

Trauma/Wound Compression FCP-02

4ea

Bandage Muslin, Compressed, Camo

3ea

Adhesive, Tape Surg 3”

1pg

Pad Isopropyl Alcohol

20pg

SAM Splint II

3ea

Atropine Injecti., Syringe with Needle

Medic

Bag, TC3, Combat Casualty Care V2

1ea

Bandage Elas 6” x 4.5yds

4ea

Bandage GA4-1/2” 100s

1ea

Bandage GA3” x 4yd Quick Clot

2ea

Bandage Abdominal Wound

1ea

Blanket, Heating 90 x 90cm

Survival Blanket, Mil. Green

1ea

Diazepam Inject., Syringe with Needle

Medic

Chest Seal Dressing, 8”x6”

2ea

Latex Free Exam Gloves SZ: X-L

6ea

Black Trauma Shears

2ea

Fine Tip Black Permanent Marker

Nasal Trumpet 28FR

1ea

Needle Decompression Device

1ea

Shield Eye Surgical

Strap Cutter, Combat

1ea

TC 3 Card (DA 7656- Sep 09)

5ea

Pre-Combat Inspection (PCI)

Warrior Aid and Litter Kit

(WALK) PCI

 

 

 

Warrior Aid & Litter Bag

 

Hypothermia Prevention & Management Kit

 

Talon Evac Litter 90c

 

Blanket Heating 4 panel

 

Litter Carrier

 

Blanket Blizzard Wrap

 

Black Talon Trauma Gloves

50ea

Litter Buckle Replacement (1male/1female)

 

Nasopharymhral Airway 28 FR W/LUB

 

Panel Marker, Survival

 

Nasopharymhral Airway

 

Litter Retention Strap Set

2ea

Petrolatum Gauze 3x18 in

Petrolatum Gauze

2ea

10-14 Guage 2.5-3 in catheters

2 ea

Needle Decompression Kit

Combat Application Tourniquet

6ea

Roller Gauze Vacuumed

8 pack

Bandage Kit Elastic ( Trauma Dressing)

4 ea

Emergency Bandage –Abdominal

Dressing Elastic Abdominal

SamII Universal Splint 36in

2ea

Large Trauma Shears 7.25”

Surgical Tape Nylon 2 in

Surgical Tape Nylon 2 in roll

2ea

Ace Wraps 6in

2ea

Cravats

6ea

Kerlix

4ea

Combat Causality Reference Card

Narp T2 Individual Kit

20pack

Pre-Combat Inspection (PCI)

Patrol Standard (Vehicle)

Level I or II Armor (appropriate level)

Crew Served Weapon – Mounted w/Ammo can secured

Laser and Enhanced Sights (M145, PAS 13) if available

Communication Capability (FM, BFT, TACSAT, Cell)

Radio Headset - 3ea per vehicle

Litter

Tow Strap or other Self Recovery Capability ( Tow Bar, Chains)

Report Formats (9-line, IED/UXO, Vehicle Recovery, SALUTE, BOLO, Patrol Debrief; Reference CTB CP SOP Ver 3)

Class III ( Oil, Transmission Fluid)

Class IV ( C Wire)

Class V ( Basic Load based on weapon system)

BII Complete

MREs (two case)

Water cans x 2

Fuel Cans x 2

Claims Card / Tip-Line Card

VS-17 Panel

Chem-light (IR and regular) (3 boxes each)

IR Strobe

Flame Retardant Blanket ( 1 per seat)

Patrol Standard (Cont)

ECM ( Functional, inspected, tested)

Marcbot (Functional, inspected with extra batteries)

Raven ( Functional, inspected with charged batteries)

TCP Kit ( See attached inventory list)

EFR Kit (See attached Inventory list)

TSE Kit (See attached inventory list)

Mortuary Affairs Kit (See attached inventory List)

Pre-Combat Inspection (PCI)

TSE Recovery Kit

3-4 Large Permanent Markers

2 Packs Small Permanent Markers

2 Large Sketch Pads

2 Clip Boards

3 x 5 Cards

5 x 7 Cards

Box of Chalk

20 Evidence / Property Custody Form DA 4137

20 Apprehension Forms

20 Statement Forms DA 2823

20 Evidence Custody Form

50 Capture Tags

30 Zip-Lock Bags

30 Brown Paper Bags

30 Shoe – Tags

30 Stick on Labels

12” Ruler

20 Flex Cuffs

3 Blind Folds

2 Flashlights w/extra Batteries

Small Digital Camera / Recorder w/extra Batteries

Latex Gloves

EXSpray

TCP Kit

Orange Cones x 8

C- Wire (2 rolls per truck)

Binoculars

Bull Horn, Loudspeaker x 1

Search Mirrors

Warning Signs

Metal Detector

Wire Gloves

HLZ Kit

Chem lights (IR and regular)

Stobe light

550 Cord ( Cut attached to chemlight for signaling)

VS 17 Panel

Pre-Combat Inspection (PCI)

AT-4 PCI

M 3-23.25

Front/Rear runner membrane present, serviceable

Transport Safety pin and lanyard present

Front/Rear site posts present/spring loaded

No cracks or damage in tube body

M203 PCI

FM 3-23.31

M203 pouches (Molle)

M203 cleaning kit

Quadrant/leaf site operational

MK 19 PCI

FM 3-22.27

M3 tripod/gun cover

Round extractor/ bore obstruction device

Cleaning kit+T-Handle

T&E pintle/ MK64/93 with pins/ MOD 9

Two acetated range cards

MK-19 ammo tray/ feed throat/ brass catcher bag

LSAT

Ammunition loaded/ stored

Javelin PCI

FM 3-22.37

Command launch unit

Extra battery cooling unit (BCU)

Two acetated range cards

Sling

Rounds

Extra batteries

Lens paper/rag

TOW PCI

FM 3-22.32

TAS operational

Tripod

Traversing unit

Launch Tube

Fire Control System

Command viewer W/cable/5590 BATT

Cables/LBB

Lens Paper/soft brush/equipment cover

TM

Two range cards acetated

Ammunition loaded/stored

Hangfire/misfire procedure card

Pre-Combat Inspection (PCI)

M2 MG PCI

FM 3-22.65

PEQ-2A mounted/secured/bore light zeroed

Tripod complete/serviceable

Spare barrel and bag complete (glove)

T&E/pintle present/serviceable

Head space and timing gauge

Carrying handle

Cartridge extractor

Blank adaptor installed/tight

Weapons cleaning kit

Two range cards acetated

Ammunition

M240B/ M249 PCI

FM 2-22.68

M145/PEQ 2 mounted/secured/bore light zeroed

Tripod complete/serviceable

Spare barrel assembly/case and BII complete

T&E/pintle present/serviceable

Cartridge extractor

Combination tool

Scrapper tool

Weapons cleaning kit

Sling

Three sand bags2X100 RND saw assault pouch/1X100 RND pouch (min)

Ammunition

Two range cards acetated

Pre-Combat Inspection (PCI)

Radio Inspection

Powers up

Takes current fill

Correct NET ID

Correct time

Correct power

Correct CT setting

Radio Check

BFT Inspection

Powers up

Monitor Operational

CPU Operational

Transceiver Operational

PLGR/DAGER Operational

System Status

GPS gum ball G

COMM SAT status G

User ICON populates

Unit ICON populates

Test

User role

Message to TOC

Reply good

Pre-Combat Checklist (PCC)

Before

PRE MISSION COMBAT CHECKS:

A pre combat check is an inspection done prior to the conduct of a mission.

A tentative time schedule is two hours. This may change based on your units ability to perform the measures on this check list and the time parameters placed on your mission.

Leaders must ensure that the personnel assigned these checks are competent and understand their task and purpose.

Special attention must be paid to attachments and their equipment /capabilities they bring for the mission.

Example: DOG TM, HUMINT TM, CA TM, Female Search Team, Ect….

Pre-Combat Checklist (PCC)

DISMOUNTED

Patrol Standard :

IBA , IAW SOP.

Night Vision, serviceable, tied down IAW with SOP, extra set of batteries

Ammunition: inspected for use, ensure load criteria for mission. Stored properly and check magazines for serviceability

Radios: Minimum of 2 forms of communication. Check for serviceability, conduct communications check on all loaded frequencies for mission. Ensure all systems are loaded IAW Commo SOP, for example: CH 1 is BN CMD NET, CH 2 is FIRES, ect.

IFAK IAW SOP.

Weapon: conduct function check, inspect optic and laser tie downs IAW SOP. Inspect sling for function ability. Extra batteries for optics and or laser.

Assault Pack: Markings IAW SOP, Packed according to mission parameters

Ruck Sack: Markings IAW SOP, Packed according to mission parameters

Leader Standards :

Leader equipment:

GPS, functional with correct data,

Map with current GRG. Compass, Strobe with extra batteries, Shift Fire signals, Pyrotechniques, Sensitive Items List, Personnel List, Communications Card.

Comms : two forms, ensure radio check .

All special equipment is inspected and checked for carrying configuration.

EXAMPLES : Breech Kit, Demolition, Mine Detector System, Spotting Scope, PAS-13, Laser Range Finder, Ect…

Pre-Combat Checklist (PCC)

BEFORE (MOUNTED)

Patrol Standard (Vehicle)

Conduct a BEFORE PMCS (-10) on the vehicle itself.

Clean all glass surfaces of dirt and debris including the turn signals

Inspect the C-WIRE to ensure it is serviceable and tied down

Inspect the gun mount. Ensure the proper mounting bracket for your specified weapon system is present. Ensure your weapon system has all T&E components present.

Inspect the weapon , ensure optics are operational and spare batteries are present. If the system uses a spare barrel it is present and serviceable.

Check your ammunition. Basic load and cleanliness. Check that your ammunition tray and box are secure. Additional ammunition secured.

Secondary weapon system. Present and serviceable. Ensure the ammunition for this weapon is accessible since

Gunners are wearing slick IOTVs. Check optics

and a spare set of batteries for lasers and optics.

Check for GUNNER special equipment, EOF laser, PPE, PAS 14 with spare batteries.

Binoculars and compass.

Turn on radios, inspect mounts, hand mikes, and speakers. Post the PACE and GRG for the mission. Conduct communications check IAW with unit SOP.

BFT, ensure start up procedures are done in order. Conduct a BFT check by ensuring your icon and others in your patrol are present. Do a BFT message check.

Turn on your ECM to ensure it works.

Patrol Standard (Cont)

Inspect the LOAD PLAN for your vehicle

All Reports IAW C-T-B SOP are present and readable, IED,

CASEVAC, RECOVERY,CCA, CAS, PATROL DEBRIEF

Inspect the location of equipment . Ensure it is accessible, secured properly and serviceable

Insure AID BAG is present and has all required equipment

Check for Litter or WALK KIT,

Inspect addition ammunition loads for serviceability, accessibility and security.

Inspect your fire extinguisher or HALON systems

Survival Bag: Check MREs for expiration date and tie down

Water, present and secured

Flame resistant Blankets (1 PER VEHICLE OCCUPANT)

SNAP TCP KIT if applicable: cones , spike strip, Chem. Lights, STOP Sign, Flash lights ( turn them on)

Mortuary Kit

BII tool kit: present and secured

BOLT CUTTERS

Chains, Sling Legs and CG1-B strap secured and serviceable

HLZ kit : Inverted “Y”, NATO “T”, VS-17 panels, BUZZ SAW, Smoke

TSE KIT

ECM ( Electronic Control Measure), component inspection

MARCBOT if applicable

POST MISSION CHECKS

Upon your return from a mission or operation, it is important to reset your equipment quickly and methodically.

IAW the C-T-B Command Post Operations SOP, patrol leaders must capture all relative information in their patrol debrief. Data should be entered into TIGR and Honesty Reports need to be accurate and timely. The subordinate leaders utilize the checklists to reset the element.

Pre-Combat Checklist (PCC)

AFTER (MOUNTED)

Patrol Standard (Vehicle)

Clear all weapons at clearing barrel IAW SOP

Patrol Leader will conduct Patrol Debrief IAW C-T-B SOP

Turn off all communications systems, ECM and BFT IAW with specific shut down procedures. NOTE: When you turn off the BFT and ECM is IAW with Unit SOP

Conduct an AFTER PMCS (-10) on the vehicle itself.

Fill up on petrol, remove all trash and debris

All items that were used or damaged are to be replaced.

Clean all glass surfaces of dirt and debris including the turn signals

Inspect the C-WIRE to ensure it is serviceable and tied down

Inspect the gun mount. Ensure the proper mounting bracket for your specified weapon system is present. Ensure your weapon system has all T&E components present. Remove and clean T&E system.

Clean and inspect GUNNER special equipment, EOF laser, PPE, PAS 14 with spare batteries.

Inspect and clean radios, hand mikes, and speakers.

BFT, check for damage and serviceability.

Refill and correct any deficiencies to the LOAD PLAN for your vehicle

BFT, turn on and check outdated graphics or icons, remove old message traffic.

Inspect your ECM to ensure it works, check any information that needs to be given to the EWO (Electronic Warfare Officer).

Patrol Standard (Cont)

All Reports are present and readable, IED, CASEVAC, RECOVERY,CCA, CAS.

Insure AID BAG is restocked

Inspect addition ammunition loads for serviceability, accessibility and security.

Inspect your fire extinguisher or HALON systems

Survival Bag: Check MREs for expiration date and tie down

Water, present and secured restock as necessary

Clean and inspect Binoculars and compass.

Replenish if required: Mortuary Kit

BII tool kit: present and secured

BOLT CUTTERS

Return and Inspect Chains, Sling Legs and CG1-B strap for security and serviceable

Pre-Combat Checklist (PCC)

AFTER (MOUNTED)

Patrol Standard (Vehicle)

WEAPON SYSTEMS

Clean the crew served weapon. Ensure optics are operational and spare batteries are present. If the system uses a spare barrel, clean and inspect it.

Clean assigned weapons, refill if necessary any ammunition usage

Check your ammunition. Basic load and cleanliness. Check that your ammunition tray and box are secure. Check all magazines for serviceability, replenish any spent ammunition.

Restock all ammunition shortages.

Replace batteries for optics and lasers

SPECIAL EQUIPMENT:

SNAP TCP KIT: cones , spike strip, Chem. Lights, STOP Sign, Flash lights ( turn them on)

HLZ kit : Inverted “Y”, NATO “T”, VS-17 panels, BUZZ SAW, Smoke

TSE KIT; replenish if required. Ensure you download camera and return, check to see if picture card is full.

MORTUARY AFFAIRS KIT

MARCBOT

RAVEN

EFR KIT

BREACH KIT

Pre-Combat Checklist (PCC)

DISMOUNTED (AFTER)

Patrol Standard :

Inspect IBA , IAW SOP.

Clean Night Vision, check serviceable, tied down IAW with SOP, check batteries and ensure extra set of batteries

Replace if required your Casualty Feeder Card and Witness Statement Card, check that it is still water proofed

Down load Assault Pack: Inspect Markings IAW SOP, repack according to mission parameters

Download Ruck Sack: Inspect markings IAW SOP, repacked according to mission parameters

Clean your assigned weapon: conduct function check, inspect optic and laser tie downs IAW SOP. Inspect sling for function ability. Extra batteries for optics and or laser.

Ammunition: inspected for use, ensure load criteria for mission. Stored properly and check magazines for serviceability

Radios: Minimum of 2 forms of communication. Check for serviceability, conduct communications check on all loaded frequencies for mission. Ensure all systems are loaded IAW Commo SOP, for example: CH 1 is BN CMD NET, CH 2 is FIRES, ect.

Replenish IFAK IAW SOP

All special equipment is cleaned and inspected.

Leader equipment: Garmin, functional with correct data, Map, Compass, Strobe with extra batteries, Shift Fire signals, Pyrotechniques, Sensitive Items List, Personnel List, Communications Card.

Pre-Combat Checklist (PCC)

DISMOUNTED (AFTER)

Patrol Standard :

NOTE: The previous inspections are not all inclusive. Some units have additional equipment and alternate configurations. However, use the above guidance to ensure you are not forgetting any important equipment that could be detrimental to your mission success.

Also, leaders must determine who actually conducts these checks. Assigned responsibility and use of time management is key.

The “Screaming Eagle TLPs”:

Operations Orders: The standard is:

Clear, complete and concise five paragraph order

Includes tasks and purposes for each subordinate element

Clearly articulates commander's intent

Identify subordinate leaders and their responsibilities

Maximizes available time through the use of WARNOs and FRAGOs

Clearly understood and easily digested down to the squad leader and

individual soldier level

Conduct detailed debrief of every member of the patrol

AARs conducted following all missions; share lessons learned so that

all can benefit from the experience

The “Screaming Eagle TLPs”:

b.Graphics: The standard is clear and accurate graphic control measures that:

Support the task and purpose

Reflect the scheme of maneuver, fires, air-ground integration, and CSS

Are disseminated down to vehicle commander or squad leader level

Reflect all refinements made after initial issue

Include a refined Enemy Situational Template that fits enemy capabilities and formations to the terrain.

Support branch plan execution

The “Screaming Eagle TLPs”:

c.Pre-Combat Checks (PCC) and Pre-Combat Inspections (PCI): Include, but are not limited to IAW PCI/PCC checklist:

Before operations PMCS performed on all equipment, to include CREW, FBCB2, weapons, and NVGs

Pre-fire checks completed to include combat systems bore sighted to a known distance during the day and night, test firing conducted

Tactical load plans inspected and made safe

Classes of supply uploaded in accordance with unit TACSOP or OPORD specifics

Communication checks conducted on all nets

OPORD and graphics checked and subordinate unit back briefs conducted

Vehicle commanders will ensure drivers conduct the "two minute drill" on their vehicle whenever the vehicle stops. This includes cleaning all windows, the entire windshield and all lights IOT facilitate seeing IEDs.

The “Screaming Eagle TLPs”:

d. Rehearsals:

METT-TC will drive the type of rehearsal:

Fully mounted combined arms rehearsal

o FM

o Key leaders only

o Map board huddle

Reinforces the commander's intent and confirms his subordinates fully understand the plan and execution.

Uses an "uncooperative enemy" that makes leaders think through their actions and orders. Rollover and fire drills conducted

IED strike rehearsals & back briefs for all crews in all combat patrols to include what each Soldier will do, what each vehicle will do, the reporting process, the recovery process, and the CASEVAC plan.

Battle Drills

Crew Drills

Fire commands

The “Screaming Eagle TLPs”:

e.Security/ Force Protection: A continuous responsibility at every unit level. Always:

Have a security plan during planning, preparation, execution and consolidation, with clearly defined tasks for subordinates.

Integrate and position ECM systems

Conduct active and passive security patrols and surveillance

Assign sectors of fire/observation

Integrate counter sniper TTPs

Enforce Soldier dispersion and use of cover

PPE worn IAW MNF-I policy

Plan for actions on IED/direct fire ambush/sniper

Conduct adjacent unit coordination for fire control/security plans/patrol routes

Plan jumps to alternate locations/rally points

Designate an internal QRF

Coordinate with external QRF

The “Screaming Eagle TLPs”:

f.Reconnaissance & Surveillance: Planned, prepared and executed at every level:

Continuous, aggressive recon of the enemy and/or terrain

Maintain observation at critical locations

BTTN SITEMP broken down by Co

Focused by the commander's PIR

SOR supporting the Commanders PIR

Have a detailed collection plan focused on answering the Commanders PIR

Confirm or deny intelligence

Understand capabilities of Intel assets at the Company level

Integrate collection assets available (UAV,HUMIT, SIGINT)

The “Screaming Eagle TLPs”:

g.Time Management: Leaders must effectively analyze time available and balance requirements of higher and subordinate units to ensure the best use of time.

Adhere to the 1/3 - 2/3 rule.

Give subordinates sufficient time to prepare for the mission

Use WARNOs and FRAGOs

Conduct parallel planning

Use OPORD / brief back / back brief / rehearse sequence.

Nested rehearsals (generic squad/section battle drill rehearsals, followed by mission-specific rehearsals at PLT / Troop level) are critical

Develop timelines that cover the essential planning, preparation and execution tasks

The “Screaming Eagle TLPs”:

h.Composite Risk Management: Leaders will conduct continuous evaluation of operational and tactical risks of all activities.

Identify risks specific to their METT-TC as well as the methods to mitigate those risks

Use five step risk management process:

o Identify hazards

o Assess hazards

o Develop control options and make the risk decision

o Implement controls

o Supervise and evaluate

Risk management will be embedded into all tactical orders

o Continuous refinement and updated risk levels by FM or face-to-face orders

o Tracking current risk levels in command posts

o Identification of types of risks - tactical and accidental - and their mitigating measures

o Reviewing effectiveness of risk management in all AARs.

Sunday

Monday

Tuesday

Wednesday

Thursday

 

 

Friday

 

 

Saturday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[NOTES]

FAMILY READNIESS SUPPORT ASSISTANT

Division FRSA…………………….…………931-217-5019

1st BCT………………………………….……931-472-5255

2nd BCT………………………………….…..931-472-5365

3rd BCT………………………………………931-249-1373

4th BCT………………………………………931-472-5632

Sustainment Brigade………………………….931-217-9863

101st Combat Aviation Brigade……………...931-472-5856

159th Combat Aviation Brigade.……….…….931-472-5994

HHB, 101st…...………………………..……..931-472-5694

86th CSH……………………………….…….931-249-3354

5th SFG………….……………………….…...931-980-8855

160th SOAR…………………………….……270-889-8494

52nd EOD……….……………………….…...931-494-0723

WTU……………………………………..…...931-249-6251

MEDDAC………………………………..…...270-956-3815

CRISIS HOTLINES

Rape Crisis Hotline…………...…..…...800-656-4673

Fort Campbell Abuse Reporting...…….270-798-8601

After hours….….270-798-8400

Kentucky Child Abuse Hotline…...…...800-752-6200

Tennessee Child Abuse Hotline…...…..887-237-0004

National Child Abuse Hotline…….......800-422-4453

Domestic Violence Hotline……….…..800-799-7233

National AIDS Hotline…………...…...800-342-2437

National Parent Hotline…………...…..800-840-6537

Poison Control……….……………......800-662-9886

National Youth Crisis Hotline….…......800-442-4673

Suicide Hotline………………………..800-784-2433

Missing and Exploited Children……....800-843-5678

National Drug Abuse Hotline….……...800-622-4357

Ombudsman Wounded Warrior Hotline

.……………….…...270-798-8827 or 931-216-3402

Wounded Warrior and Family Hotline

………………………………………..270-798-8045

Crisis Call Hotline…………………….931-648-1000

ADDITIONAL RESOURCES

Ft. Campbell Website: www.campbell.army.mil

FMWR: www.fortcampbellmwr.com BACH: www.campbell.amedd.army.mil Tricare: www.tricare.mil www.militaryonesource.com www.amryonesource.com www.militaryhomefront.dod.mil Enlisted Spouses Club: www.101stesc.net Officers Spouses Club: fortcampbellosc.com Fort Campbell Post Info: 270-798-2151

SPIRITUAL RESILIENCY

Adults

Religious Education Center………………..270-798-3185

Chaplain Services Family Life Center……..270-798-3316

(Marital and Family Services Support)

Installation Chaplain Service………...…….270-798-6124

Protestant Services………………...270-798-8777

Contemporary……………………...270-798-3327

Memorial Chapel…………………..270-798-2066

Grace Chapel………………………270-798-3446

Community Chapel………………..270-798-0464

Soldiers Chapel……………………270-798-4311

Hope Chapel…………………….....270-798-7551

Peace Chapel……………………....270-798-6124

Catholic Services…………………..270-798-2352

Confessional……………………….270-798-3840

Jewish Services……………………270-798-6124

Pagan Services……………………..931-494-3661

Divine Liturgy……………………..270-798-6124

Great Vespers……………………...270-798-6124

Samoan & Pentecostal……………..270-798-7551

Traditional Protestant……………...270-798-4311

Gospel……………………………...270-798-0464

Jumah……………………………...270-798-3185

Muslim…………………………….270-798-6124

Religious Services Directory

Installation Senior Catholic Priest…....270-798-3840

101st Division Chaplain……………...270-798-6913

5th Special Forces Chaplain………….270-798-3306

160th Chaplain………...…………….270-798-2490

Children

Club Beyond (Youth Ministries)……..……270-798-6124

Catholic Youth Chapel……………….……270-798-2352

AWANA (Ages 4-6th grade)….…………..270-798-3185

Women’s Program

Military Council of Catholic Women..…….270-798-6124

Mothers of Preschoolers (MOPS)……..…...270-798-6124

Protestant Women of the Chapel……..……270-798-6124

Blanchfield Army Community Hospital

Hospital Chaplain……….…………………270-798-8777

SOCIAL RESILIENCY

Adults

Better Opportunities for Single Soldiers..….270-798-7858

ACS Family Resource Center…………...…270-956-2935

Fort Campbell Outdoor Recreation……...…270-798-2175

MWR Special Events…………………...….270-798-7535

MWR Sports & Fitness………………...…..270-956-1006

Army Career & Alumni Program……..…...270-798-5000

ITR Leisure Travel……………………..….270-798-7436

Children

Child, Youth, and School Services………...270-798-0674

CYSS Kids on Site…………………..…….270-956-4381

ASYMCA………………………………….270-798-7422

BACH Child Psychiatry Services………....270-798-8437

CYSS Outreach Services………….……….270-412-0173

Short Term Alternative Childcare……...….270-956-4381

Co-Op Daycare YMCA……………...…….270-798-7422

Family Childcare Home Program……...…..270-798-4959

Child Development Home

(Non-traditional Work Schedules)…….…...270-798-4959

Waters Child Development Center #1….….270-439-7993

Waters Child Development Center #2…..…270-439-7996

Bastogne Child Development Center…..…..270-412-4485

Tennessee Child Development Center…......270-412-4477

Part Day Preschool…………………………270-956-6767

CYSS Respite Care………………………...270-412-4477

SKIES Unlimited (classes & programs)…...270-412-5455

Taylor Youth Services……………………..270-798-3643

Taylor Youth Sports………………………..270-798-6355

Boys Scouts of America…………………...931-561-6515

Girl Scouts of America…………………….931-648-1060

Schools

Fort Campbell School Liaison……..………270-798-9874

Fort Campbell Schools Central Office….....270-439-1927

Administrative Office……………..270-439-3790

Clarksville Montgomery County Schools....931-648-5600

Christian County Public School System…..270-887-1300

SSG Glenn H. English JR Army Education Center

……………………………………………270-798-3201

Teens

Taylor Youth Services & Youth Sports…....270-798-3643

Teen Club 24/7……………………………..270-956-1030

F O R T C A M P B E L L

 

R

 

 

E

 

 

S

 

 

I

B

Building

L

R

I

 

Resilient

O

Families

E

C

Through

Community

N

H

Partnerships

C

U

and the

 

 

Community

Y

R

Health

Promotion

 

E

Council

 

 

 

A quick reference guide to

Fort Campbell’s Resiliency

Agencies & Programs

LEGEND

ACS: Army Community Service

ASAP: Army Substance Abuse Program

ASYMCA: Armed Services YMCA

BACH: Blanchfield Army Community Hospital

CYSS: Child Youth & School Services

EFMP: Exceptional Family Member Program

ITR: Information, Ticketing, & Reservations

MOB/DEP: Mobilization/Deployment

FMWR: Family, Morale, Welfare, & Recreation

Visit www.campbell.army.mil

for the complete

Family Resource Guide

FAMILY RESILIENCY

 

EMOTIONAL RESILIENCY

 

 

 

 

PHYSICAL RESILIENCY

PHYSICAL RESILIENCY

Adults

ACS Army Family/Teen Team Building

Program…………………………………...270-798-4800

ACS Army Family Action Plan.…………..270-798-2063

Army Career & Alumni Program….…...…270-798-5000

ACS EFMP……………………….…….....270-798-2727

ACS Family Resource Center…………….270-956-2935

ACS Relocation Readiness Program.……..270-956-2676

ACS Army Emergency Relief…………….270-798-5518

ACS Family Financial Planning…….….....270-798-5518

ACS Consumer Affairs Office…….……...270-798-5528

ACS Lending Closet……………….……...270-798-6313

ACS Family Employment Readiness Program

…………………………………………….270-798-4289

ACS Job Information Center………...……270-798-4412

ACS Volunteer Program…………….….....270-412-6771

BACH Marriage & Family Therapists……270-798-8601

BACH EFMP…………………………...…270-956-0614

BACH Family Advocacy Program….…….270-798-8601

ACS Family Advocacy Program…….……270-412-5500

ACS Victim Advocacy Program…….……270-412-5500

ACS Sexual Assault Prevention & Response

Program……………….…………………..270-412-5500

ACS Soldier Family Assistance Center..….270-412-6000

Chaplain Services Family Life Center…....270-798-3316

Military Family Life Consultants………....270-205-1917

Causality Assistance Center………………270-798-4727

Survivor Outreach Services……….……....270-798-0272

BACH Grieving Parents…………………..270-798-8777

ACS MOB/DEP Program………………....270-798-3849

101st Airborne Division Legal Assistance

…………………………………………….270-798-4432

Youth

ACS Exceptional Family Member Program (EFMP)

…………………………………….……....270-798-2727

BACH EFMP………………………..…….270-956-0614

Fort Campbell Abuse Reporting…………..270-798-8601

ACS New Parent Support Program..……...270-956-3850

CYSS Middle School/Teen Programs…….270-798-6355

CYSS School Age Services…………….....270-412-2315

EDGE (Experience , Develop, Grow, & Excel)………...

…………………………………………….270-498-8002

Adults

BACH Marriage & Family Therapists....…..270-798-8601

Chaplain Services Family Life Center...…...270-798-3316

Military Family Life Consultants…..............270-205-1917

BACH Adult Behavior Health….................270-798-4097

BACH Department of Social Work…..........270-798-8601

Warrior Resiliency Recovery Center……….270-412-5114

Traumatic Brain Injury Clinic……….……..270-412-5114

BACH Rape Crisis Counseling……….……931-647-3632

BACH Family Advocacy Program…...……270-798-8601

ACS Family Advocacy Program……….…..270-412-5500

ACS Victim Advocacy Program……….…..270-412-5500

ACS Sexual Assault Prevention & Response

Program…………………………………….270-412-5500

ACS Soldier Family Assistance Center….…270-412-6000

BACH High Interest Program (Suicide)…...270-956-0620

Chaplain Services…………………………..270-798-6124

Suicide Prevention Program………………..270-412-6825

Wounded Warrior Hotline………………….270-798-8827

Warrior Transition Unit…………………….270-956-0693

Safe House (Montgomery County)……...…931-558-6900

Sanctuary House (Christian County)……….270-886-8174

Children

BACH Child & Adolescent Psychiatry….....270-798-8437

(School Based Mental Health Program)

BACH Department of Social Work…...……270-798-8601

Child, Youth, and School Services…...…….270-798-0674

Educational Support

Army Family Team Building…...……...…..270-798-4800

School Age Services………………..…..…..270-798-3643

ACS Exceptional Family Member Program..270-798-2727

Support Groups

Wounded Warrior Support Group……….....270-798-8330

Grieving Parents…………………………....270-798-8777

Grief Support Group………………………..270-798-3316

Traumatic Brain Injury Support Group…….270-798-8330

Alcoholics Anonymous……………………..270-798-7551

Mothers of Preschoolers…………………....270-640-3660

Door of Hope……….……………………....931-217-8294

Autism Support Group……………………...931-503-2315

Waiting Families Support Group………..….270-956-2676

International Spouse Support Group…….....270-956-2676

Cancer Survivor, Caregiver Support Group..931-249-6250

Adults

Tricare………………………………...…….877-874-2273

Blanchfield Army Community Hospital

Appointments (Health Advice Nurse)…...270-798-4677

Hospital Operator………….……..270-798-8400

Admissions……………….……....270-798-8287

Allergies………………….……….270-798-8255

Dermatology………....….…….….270-798-8345

ENT Clinic…………….….……...270-798-8131

Emergency Center…….….………270-798-8000

General surgery……….….………270-798-8407

Immunizations……….….270-798-8400 ex.5388

Infection Prevention….….……….270-798-8309

Urgent Care……………..………...270-798-8511

Laboratory….………………..…...270-798-8114

Medical Records…….………..…..270-798-8290

Patient Representative.………..….270-798-8091

Main Outpatient Pharmacy.…...….270-798-8075

LaPointe Pharmacy (Soldiers)…....270-956-0313

Town Center Pharmacy (refills)….270-956-0191

Pain Clinic………………………..270-798-8166

Primary Clinics……………...……270-798-4677

BACH Blue Clinic…...…270-798-8706

BACH Gold Clinic...……270-798-8227

Refill Call-In Number…270-7998-3784

Self Care Classes.….…………….270-956-0100

Podiatry Clinic….……………….270-798-8375

Radiology…….….…...………….270-798-8333

Same Day Surgery….…….……...270-798-8143

Urology…………….….…………270-798-8403

Soldier Health Services

LaPointe Clinic……….….……....270-412-8700

AShau Valley Clinic……..……...270-412-3535 Bastogne Clinic……….………....270-412-0091 Carentan Clinic….….…………....270-412-3745 Aviation Health Clinic…..……….270-412-8387 Audiology Clinic…………..…….270-956-0305 Hearing Conservation Clinic….....270-956-0305 Chiropractic Clinic…..…………..270-956-0250 Optometry Clinic……..………….270-956-0304 Nutrition…………..……………..270-956-0134 Physical Therapy…..…………….270-956-0306 Radiology…….………………….270-956-0308

Dental Headquarters…………………….….270-798-8751

Epperly Dental Clinic……….…...270-798-3544

BACH Dental Clinic…….……....270-798-8240

Kuhn Dental Clinic……….……..270-956-0350

Taylor Dental Clinic………..…....270-798-6362

Children

Tricare………………………...…………....877-874-2273

Primary Clinics…………......……………...270-798-4677

BACH Young Eagle Clinic.………270-798-8258

BACH Blue Clinic………....……..270-798-8706

School/Sports Physicals……..………..…...270-798-4677

WIC (Ft. Campbell)..……………...……….270-798-4935

WIC (Montgomery County)……...………..931-551-8777

WIC (Christian County)…………..……….270-887-4160

Women

Blanchfield Army Community Hospital

Women's Health Clinic.………270-798-8151

Labor & Delivery………….....270-798-8219

Mother Baby Unit…………....270-798-8090

Health Classes………………..270-798-8750

Childbirth…………………….270-798-8750

Infant Care & Parenting……...270-798-8750

Breastfeeding………………...270-798-8750

Obstetrician..……….………...270-798-8892

Gynecology..…………………270-431-3644

Fitness Centers/Recreation

ESTEP Fitness Center…………..………….270-798-4023

Fratellenico Physical Fitness Center…….....270-798-9418

Freedom Fighters……………….…………..270-798-7355

Gretsch Physical Fitness Center….………...270-798-2753

Lozada Physical Fitness Center………….....270-798-4306

Olive Physical Fitness Center………………270-798-4101

MWR Riding Stables………………....…….270-798-2629

MWR Hunting and Fishing Office………....270-798-2175

MWR Paintball Field……………….……....270-956-3118

Baldanado Pool……………………………..270-798-5207

Dolan Pool………………………………….270-798-5350

Single Pool………………………………....270-798-4247

Gardener Indoor Pool……………………....270-798-6310

Cole Park Golf Club………………………..270-798-1822