Get Standard Form 603, Health Record - Dental, October 1975 ... - Dtic - Dtic

This guide provides clear and detailed instructions on filling out the Standard Form 603, Health Record - Dental, dated October 1975. By following these steps, you will successfully complete this important health record.

Follow the steps to accurately fill out the form.

1. Press the ‘Get Form’ button to access the form and open it in the online editor.
2. In Section I, indicate the purpose of examination by selecting either initial or separation. If applicable, specify any other type in the provided space.
3. Next, complete the type of exam field by selecting from options provided, including a space for 'Other' if necessary.
4. Fill out the dental classification by selecting the appropriate number from the given categories.
5. Detail any missing teeth, existing restorations, or prosthetic appliances in the specified area.
6. In the remarks section, provide any additional information that is different from your previous answer in box 7.
7. Enter the place of examination and the date of the exam.
8. Have the dentist complete the signature section confirming their involvement in the examination.
9. In the diseases and abnormalities section, provide remarks as needed.
10. For identifying x-rays used, check all applicable types such as panoramic, full mouth, or others as indicated.
11. Ensure to fill in the patient’s identification, name, date of birth, relationship to sponsor, sex, component status, sponsor's name, and SSN or identification number.
12. Complete service details like department, service rank/grade, and organization.
13. In Section II, record any restorations and treatments completed during service and detail any subsequent diseases and abnormalities.
14. Provide remarks on services provided including symptoms, diagnosis, treatment, provider, and treatment facility, signing each entry.
15. Once all information is filled out accurately, save changes, download, print, or share the completed form as necessary.

Take the next step in your dental health management by completing the Standard Form 603 online today.