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4 photos depicting various military environmental toxic exposures. Photo of chemicals draining into a water source through large drainpipes, photo of a soldier in combat gear working on munitions in a field, photo of soldier wearing a gas mask with yellow gas around, photo of 2 soldiers dressed in firefighter gear spraying fire-fighting foam.

Military Environmental Exposure Non-Registry Template

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The Promise to Address Comprehensive Toxins (PACT) Act requires all enrolled Veterans to complete a Toxic Exposure Screening (TES). Almost 30% of screened Veterans request a referral to Environmental Health for a toxic exposure assessment and approximately 1 out of 4 endorse a non-registry toxic exposure and do not meet eligibility criteria for a formal registry. While Environmental Health staff have a standard template to capture toxic exposure assessments for the Airborne Hazard and Open Burn Pit registry, there was no standardized method to capture non-registry toxic exposure referrals such as Camp Lejeune, asbestos, lead, and all other in-garrison exposures. Establishing a non-registry template provides a standardized tool to address the many different types of military-related non-registry exposures that millions of Veterans have experienced.

This innovation is replicating across multiple facilities as its impact continues to be validated. See more replicating innovations.


March 2023, Dayton VA Medical Center


4 successful


Academic Affiliations



  • The Non-Registry toxic exposure template has been actively utilized in 4 stations across VISN10 for the past 6 months. From March to August, the 4 facilities completed 1,470 non-registry toxic exposure assessments and documented Veterans concerns. Without this template, those 1,470 Veterans would not have had an assessment and had their concerns captured in a manner that may also be used by other stakeholders as VACO, WRIISC, and DoD. Veterans were able to be educated on their exposures, thus improving the Veteran experience while supporting VA’s core “I CARE” values.

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There are no in-progress adoptions for this innovation.

There are no unsuccessful adoptions for this innovation.