From RECP Form, 2021
Part 10: PROOF OF COMPENSABLE DISEASE.
This part concerns records which can prove that the person identified in Part 2 became ill with lung cancer or a nonmalignant respiratory disease. Please choose one or more of the following methods to establish a diagnosis of lung cancer or a nonmalignant respiratory disease.
Did the person who became ill participate in a uranium miner study for either St. Mary's
Hospital or the University of New Mexico School of Medicine?
Yes, St. Mary’s [ ] Yes, University of New Mexico [ ] No [ ]
• I HAVE SUBMITTED CERTIFIED MEDICAL RECORDS SHOWING A DIAGNOSIS
OF A COMPENSABLE DISEASE