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As mandated in Public Law 103-446, the Department of Veterans Affairs (VA) asked the Institute of Medicine (IOM) to review the VA's Uniform Case Assessment Protocol (UCAP) for Persian Gulf veterans. The purpose of the program is to provide a systematic, comprehensive medical protocol for the diagnosis of health problems of Persian Gulf veterans. This book is the third in a series of studies by the IOM reviewing the protocols used by the VA and the Department of Defense to diagnose the health complaints of Gulf veterans. This book offers the committee's reviews and recommendations concerning the adequacy and implementation of the VA's medical protocol as well as the its outreach and education efforts to inform Persian Gulf veterans and their care providers of the purpose and availability of this program. In addition, the book contains appendixes with the findings and recommendations of the previous books, as well as those of two related IOM volumes on Health Consequences of Service During the Persian Gulf War.