Department of defense

Department of defense form approved omb no. 0720-0022. active duty/reserve forces dental examination. expires feb 28, 2006. the...

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Dentist s telephone number (include area code) 1 o dentist s signatureistate license number 1 1. date of examination (yyyymmdd) dd form 2813, mar 2003

Form approved department of defense omb no. ...

Department of defense reserve forces dental examination privacy act statement authority: public law 105-85, sec. 765; dod directive 6490.2; e.o. 9397.

Regulations

Receive dd form 2813 the dss receives the soldier's dd form 2813 (department of defense active duty/reserve : forces dental examination). dd form 2813 23 sep 10

Readiness management group individual reserve guide

An active duty dentist needs to review the dd form 2813 and determine the dental readiness classification (drc). the drc must be entered into dds-w for either

Dtf training draft forsmt060209

Forms dd 2813 - active duty/reserve forces dental examination - th e government requires all active duty and reserve members receive an annual dental examination.

Demand on carrier/contractor

Dd form 1844 b. dd forms 1840/1840r c. dd form 1841 d. government bill of lading e. estimates f. other (specify) 9. remarks when appropriate, if a...

Pre-mobilization dental readiness requirements

Sf 603/603a (military/ contract civilian dentist) or dd form 2813 (private civilian dentist). e. panoramic and supporting radiographs (i.e. bitewing radiographs).

Dd form 2876, tricare prime enrollment application and pcm ...

Dd form 2876, sep 2011 the public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing...

1. date of examination 2. social security number ...

Dd form 2808, jan 2003 page 1 of 3 pages clinical evaluation (check each item in appropriate column. enter "ne" if not evaluated.) b. component

Medical services medical record administration and health care ...

Dd form 2813 (department of defense reserve forces dental examination) is used to obtain the dental health status of members of the reserve components for deployment...


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