Letter to next-of-kin

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Agency for Toxic Substances
and Disease Registry
Atlanta, GA 30333

<>
<> <> <> <>
<>
<>
<>, <> <>
Dear <>,
This is an important notice about the ATSDR Health Survey you recently received in the
mail. You received this survey because you are the next-of-kin to <>
<> <> <>, who was stationed at or worked
at Camp Lejeune or Camp Pendleton. The survey is designed to collect information about
this person. An error was made in Question A1 (on page 5) - your relative’s name should
appear instead of your name. To clarify, only Section A asks questions about you. All other
sections of the questionnaire should be answered about your relative, <>
<> <> <>.
If you prefer to complete the survey on-line, please visit www.ATSDRHealthSurvey.org. Your
Personal Identification Number (PIN) is <>. This PIN is needed to access the survey.
Please complete only one survey – either on-line or by mail.
If you have any questions, you may call the Health Survey Information Line at 1-888-252-7048.
If you do not know the person named above, or if you are unable to complete the survey on their
behalf, please let us know.
Thank you in advance for your help with this important survey
Sincerely,

Frank Bove, ScD
Senior Epidemiologist
Division of Health Studies, ATSDR

Perri Ruckart, MPH
Epidemiologist
Division of Health Studies, ATSDR