
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.
- Click the ‘Get Form’ button to obtain the Dd 2813 form and open it in your preferred online editor.
- Enter the service member's full name in section 1 (Last, First, Middle Initial). This information is crucial for identification.
- In section 2, input the service member's social security number to ensure accurate record-keeping.
- Provide the unit of assignment in section 4 to indicate where the service member is currently posted.
- Fill out section 5 with the complete unit address, which aids in administrative purposes.
- In section 3, select the branch of service to identify the military organization the member belongs to.
- 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.
- If applicable, in section 4, the dentist needs to describe any specific conditions resulting in potential dental emergencies within 12 months.
- In section 7, enter the dentist's name to ensure accountability for the examination.
- Input the dentist's address and telephone number in sections 8 and 9 to provide contact information for follow-up if needed.
- In section 10, the dentist must sign and include their state license number to validate the examination.
- Finally, in section 11, record the date of examination in the format YYYYMMDD.
- 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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Get answers to your most pressing questions about US Legal Forms API.
Can you deploy with Class 3 dental?
Soldiers with a Class 3 classification are in medical readiness classification three category as deployment-limiting code two and will be considered deployable.
How do I submit a dd2813?
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.
What does Class 3 dental mean in military?
Class 3: Patient with an oral condition that, if not treated, is expected to result in dental emergencies within the next 12 months.
What is the military dental form?
DD Form 2813, " Active Duty/Reserve/Guard/Civilian Forces Dental Examination"
What are the dental readiness classes?
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.
What is the current DD 2813?
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.
What does dental class 4 mean?
Class 4: Patient who requires a dental examination and whose dental classification is unknown.
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