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Eeded to determine your dental health as part of the family member relocation clearance for travel. If you are enrolled in the TRICARE Dental Plan, your civilian dentist completes this form. If you are not enrolled in the TRICARE Dental Plan, your military dental treatment facility completes this form. 1a. PATIENT NAME (Last, First, Middle Initial) b. SPONSOR SSN c. FAMILY MEMBER PREFIX 2. DENTAL EXAMINATION RESULTS Dear Doctor, The individual you are examining is a family member of an active.

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How to fill out the Af1466d online

Filling out the Af1466d is a crucial step to assess the dental health of a family member of an active duty military member. This guide provides clear, step-by-step instructions to help you complete the online form accurately and efficiently.

Follow the steps to complete the Af1466d form successfully.

  1. Press the ‘Get Form’ button to access the Af1466d online and open it in your preferred editor.
  2. In section 1a, enter the patient's full name using the format: Last name, First name, and Middle initial.
  3. In section 1b, provide the sponsor's Social Security Number (SSN) accurately.
  4. In section 1c, fill in the family member prefix as required.
  5. Move to section 2, where the dental examination results are recorded. The examining dentist will mark (X) the appropriate block that describes the patient's dental health status.
  6. If the dentist marks block (3) indicating potential dental emergencies, they should circle the specific conditions or describe them in the provided space for clarity.
  7. Section 4 requires the dentist to indicate if x-rays were consulted during the assessment and to provide the date if applicable.
  8. In section 5a, the dental provider should write their name, followed by their signature in 5b, and the date of completion in 5c.
  9. Once all information is filled correctly, you can save changes, download, print, or share the Af1466d form as needed.

Complete the Af1466d online to ensure timely submission of your dental health assessment.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232