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  • Dd 689

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U.S. DOD Form dod-dd-689 DATE INDIVIDUAL SICK SLIP ILLNESS INJURY LAST NAME - FIRST NAME - MIDDLE INITIAL OF PATIENT SERVICE NUMBER/SSN ORGANIZATION AND STATION GRADE/RATE UNIT COMMANDER'S SECTION.

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How to fill out the Dd 689 online

The Dd 689 is a vital document used to record a person's sick leave and medical status within the U.S. Department of Defense. This guide provides a clear, step-by-step approach for users to fill out the form correctly and efficiently online.

Follow the steps to complete the Dd 689 online.

  1. Press the ‘Get Form’ button to obtain the document, ensuring that you can open it in your preferred online editor.
  2. Begin filling out the patient's full name in the designated fields for 'Last Name,' 'First Name,' and 'Middle Initial.'
  3. Enter the Service Number or Social Security Number (SSN) of the patient accurately in the appropriate field.
  4. Complete the section for 'Organization and Station' by providing the relevant details concerning the patient's assignment.
  5. Indicate the 'Grade/Rate' of the patient as it applies within the military structure.
  6. In the 'Unit Commander's Section,' require the unit commander's signature to validate the document.
  7. Fill in the 'Medical Officer's Section' with the necessary information and obtain the medical officer’s signature as well.
  8. Specify whether the patient was 'in line of duty' or not by selecting the appropriate option.
  9. Provide any remarks in the 'Remarks' section for additional relevant information concerning the patient's condition.
  10. Choose the 'Disposition of Patient' such as 'Sick Bay,' 'Duty,' 'Quarters,' 'Hospital,' or 'Other' and specify if you select 'Other.'
  11. Review all entered information for accuracy before proceeding to save your changes.
  12. Finally, download, print, or share the completed form as needed to ensure proper submission.

Complete your Dd 689 form online today for a smoother documentation process!

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What is the purpose of the DD Form 689? Providers may use the standard Individual Sick Slip (DD Form 689) to notify Unit Commanders on the status of their personnel.

DD Form 689, "Individual Sick Slip"

A: You may download DoD directives, instructions, manuals, pubs, forms, and other issuances from the Official DoD Issuances website sponsored by Washington Headquarters Services. Once you locate an issuance, you can often download it in one of several different formats.

This regulation prescribes policy and procedures for the preparation, use, and disposition of DD Form 689 Individual Sick Slip. The Individual Sick Slip will be issued to a patient who either requests or receives medical or dental treatment or evaluation at an Army medical treatment facility.

DD Form 689, Individual Sick Slip, is a document given to a patient who wants to receive or request medical or dental care or evaluation at an Army Military Treatment Facility (MTF). The DD 689 may be used as evidence of communication between the attending AMEDD personnel and the unit commander of the military member.

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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