We recommend the Associate Director for Field Operations Directorate establish a process to track civil surgeon medical form errors to identify areas that need improvement. The process should include: a. tracking civil surgeons' accuracy in complying with CDC's Technical Instructions for Panel Physicians and Civil Surgeons; b. tracking the completeness of the forms; and c. establishing a system to ensure civil surgeons understand and follow the CDC's Technical Instructions for Panel Physicians and Civil Surgeons and to ensure civil surgeons who fail to fulfill their responsibilities face prompt revocation.