Get Dd771 Form

This guide provides comprehensive instructions for filling out the Dd771 Form online. Whether you are familiar with such forms or are approaching this for the first time, our step-by-step approach will ensure you complete it accurately and efficiently.

Follow the steps to successfully complete the Dd771 Form online.

1. Click the ‘Get Form’ button to access the Dd771 Form and open it in your document editor.
2. Fill in the 'temple' section by indicating the length and style you are ordering.
3. In the 'lens' section, enter the specific lens style you wish to order.
4. Provide the date the prescription was issued.
5. Enter the interpupillary distance, a measurement required for all spectacles ordered. Make sure to include 'near PD' for bifocals and trifocals as needed.
6. Fill in the account number, which is essential for clinics to track orders. If not applicable, you may leave it blank.
7. Specify the frame bridge size you require.
8. Choose the desired tint type from the provided dropdown list.
9. Indicate the frame color you are selecting.
10. Select the lens material you are ordering.
11. If available, enter the order number to help with tracking.
12. Complete the 'From' section by entering the clinic name and the complete address, including the two-letter state abbreviation and ZIP+4 details.
13. Record the patient's name and the last four digits of their Social Security number.
14. Select the appropriate rank or grade of the patient from the dropdown menus.
15. Fill in the patient's unit, address, and daytime phone number.
16. Choose the appropriate duty status from the selection provided.
17. Select the correct branch of service for the member.
18. Specify the frame sizes, colors, and styles as needed using the dropdown options.
19. Enter the prescription details, including sphere, cylinder, axis, and any additional specifications for multi-vision options.
20. Utilize the 'special comments/justification' section for any non-standard requests or needs.
21. Leave the signature field blank, as it requires a handwritten signature.
22. Once you have filled out all sections, save changes to the form. You can then download, print, or share the completed document as necessary.

Complete your documentation online today for efficient processing.