AETV - _________ 4th End
TO: Medical Officer/Nutritionist
FROM: Commander, _______________
SUBJECT: Nutrition Counseling for Weight
Reduction/Exercise Program
1. ____________________
exceeds the body fat standards UP AR 600-9.
Soldier currently weighs _____ with ____ % body fat. Soldier's allowed weight is _____ with ____%
body fat.
2. Request nutrition
counseling and weight reduction counseling IAW AR 600-9.
_____________________
_____________________
Commander
DATE: _______________
AETV - _________ 5th End
TO: Commander, __________________
FROM: Medical Officer/Nutritionist
SUBJECT: Nutrition Counseling for Weight
Reduction/Exercise Program
1. ____________ has been
provided with nutrition and weight reduction counseling IAW AR 600-9.
2. Follow up counseling
should be provided at the unit level using information in Appendix C of AR
600-9 with the assistance of your master fitness trainer.
________________________
(Signature of Medical Officer/Nutritionist)