Col. Patricia Fowler, 436th Medical Group commander, removes the case from the newly designated 436th Health Care Operations Squadron guidon as Lt. Col. Lisa Palmer, 436th Medical Operations Squadron commander, prepares to furl the guidon of the 436th MDOS during a redesignation ceremony June 28, 2019, at the 436th MDG on Dover Air Force Base, Del. The 436th MDOS was re-designated as the 436th HCOS, whose focus is to provide care to all non-active duty beneficiaries. (U.S. Air Force photo by Roland Balik)