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DATE INITIAL ADMISSION Y Y Y Y M M D D 28. MTF OF INITIAL ADMISSION 26. DATE THIS ADMISSION Y Y Y Y M M D D FOR LOCAL USE ADMITTING OFFICER Signature as required DA FORM 2985 MAR 2000 SIGNATURE OF ADMITTING CLERK EDITION OF MAR 89 IS OBSOLETE APD LC v1. FIRST PROCEDURE Principal Diagnosis SEVENTH DIAGNOSIS CONTAINING CODES PAGE 2 DA FORM 2985 MAR 2000 RESIDUAL DISABILITY DO NOT USE - DATA FILLER 1 SECOND DIAGNOSIS CAUSE OF INJURY THIRD DIAGNOSIS .

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How to fill out the Form 2985 online

Filling out the Form 2985 online can streamline your documentation process. This guide provides clear and supportive instructions to help you navigate each section of the form effectively.

Follow the steps to successfully complete the Form 2985 online.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred digital format.
  2. Begin with the 'Name' section where you will input the last name, first name, and middle initial of the individual. Ensure accuracy in spelling as it is crucial for identification purposes.
  3. Next, provide the 'Date of Birth' in the format YYYY-MM-DD. This information is vital for demographic records.
  4. Complete the 'Social Security Number' field. This number is essential for tracking and record-keeping within the medical treatment facility.
  5. Fill in the 'MTF Location' field which indicates the specific medical treatment facility associated with this form.
  6. In the 'Length of Service' section, specify the total time served which is significant for medical and administrative processes.
  7. The 'Pay Grade' field requires input on the service member's current pay grade. Ensure accuracy as this impacts their records.
  8. Proceed to the 'Marital Status' and 'Sex' fields, providing the relevant details as required.
  9. Fill out the 'Admission and Coding Information' section carefully, entering any required diagnostic and procedural codes as they relate to the individual's treatment.
  10. After completing all relevant sections, review your entries for accuracy. Once confirmed, you can save your changes, download a copy, print, or share the form as needed.

Start filling out your Form 2985 online today to ensure a smooth and efficient documentation process.

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Related links form

Form 5713 (Schedule B) (Rev. October 1999). Specifically Attributable Taxes And Income (Section 2000 Instructions For 6252. Installment Sale Income Form 8805 Foreign Partner's Information Statement Of Section 1446 Withholding Tax , 20 OMB No Form W-4 (2000)

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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
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 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232