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U.S. DOD Form dod-dd-2813 Form Approved OMB No. 0720-0022 Expires Feb 28, 2006 DEPARTMENT OF DEFENSE ACTIVE DUTY/RESERVE FORCES DENTAL EXAMINATION The public reporting burden for this collection of.

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How to fill out the Dd 2813 online

The Dd 2813 form is essential for assessing a service member's dental health to determine their fitness for duty without immediate access to dental care. Filling out this form accurately online ensures timely healthcare assessments for military personnel.

Follow the steps to successfully complete the Dd 2813 form online.

  1. Click the ‘Get Form’ button to obtain the Dd 2813 form and open it in your preferred online editor.
  2. Enter the service member's full name in section 1 (Last, First, Middle Initial). This information is crucial for identification.
  3. In section 2, input the service member's social security number to ensure accurate record-keeping.
  4. Provide the unit of assignment in section 4 to indicate where the service member is currently posted.
  5. Fill out section 5 with the complete unit address, which aids in administrative purposes.
  6. In section 3, select the branch of service to identify the military organization the member belongs to.
  7. Move to section 6 to record the examination results. The examining dentist will mark the appropriate box that reflects the dental condition of the member.
  8. If applicable, in section 4, the dentist needs to describe any specific conditions resulting in potential dental emergencies within 12 months.
  9. In section 7, enter the dentist's name to ensure accountability for the examination.
  10. Input the dentist's address and telephone number in sections 8 and 9 to provide contact information for follow-up if needed.
  11. In section 10, the dentist must sign and include their state license number to validate the examination.
  12. Finally, in section 11, record the date of examination in the format YYYYMMDD.
  13. Once all sections are completed, users can save their changes, download, print, or share the completed form as necessary.

Take the next step in ensuring your dental health assessment: complete your Dd 2813 form online now!

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Soldiers with a Class 3 classification are in medical readiness classification three category as deployment-limiting code two and will be considered deployable.

Class 3: Patient with an oral condition that, if not treated, is expected to result in dental emergencies within the next 12 months.

DD Form 2813, " Active Duty/Reserve/Guard/Civilian Forces Dental Examination"

The dental readiness classification (DRC) is a simple number – 1, 2, or 3 – that indicates whether a service member is ready for deployment worldwide, or if the service member is likely to experience a dental emergency within the next 12 months.

PURPOSE: To collect patient information necessary to determine the patient's readiness to participate in a military deployment. ROUTINE USES: Information in your records may be disclosed to other components within the Department of Defense to determine your readiness to participate in a military deployment.

Class 4: Patient who requires a dental examination and whose dental classification is unknown.

Be sure to have a DD 2813 completed and submit it to https://lhi.care/. If treatment is needed, contact LHI for an appointment and treatment at no cost. Active Guard and Reserve (AGR) Soldiers (outside military health system area) may call 1-888-984-2337 to make an appointment free of charge.

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© Copyright 1997-2025
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
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
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
airSlate WorkFlow
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 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232