We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Dd2813

Get Dd2813

DENTIST S TELEPHONE NUMBER Include Area Code 10. DENTIST S SIGNATURE/STATE LICENSE NUMBER DD FORM 2813 OCT 2013 PREVIOUS EDITION IS OBSOLETE. 11. DEPARTMENT OF DEFENSE ACTIVE DUTY/RESERVE/GUARD/CIVILIAN FORCES DENTAL EXAMINATION OMB No* 0720-0022 OMB approval expires Aug 31 2016 The public reporting burden for this collection of information is estimated to average 3 minutes per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information* Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing the burden to the Department of Defense Washington Headquarters Services Executive Services Directorate Information Management Division 4800 Mark Center Drive Alexandria VA 22350-3100 0720-0022. Respondents should be aware that notwithstanding any other provision of law no person shall be subjec....

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Dd2813 online

The Dd2813 form, also known as the Dental Examination form, is essential for assessing the dental health of active duty, reserve, guard, and civilian forces in the United States Armed Forces. This guide will provide you with detailed, step-by-step instructions on how to complete the Dd2813 form online, ensuring that you submit all necessary information accurately.

Follow the steps to successfully complete the Dd2813 online

  1. Click the ‘Get Form’ button to obtain the Dd2813 form and open it in your preferred online editor.
  2. Begin filling in the required personal information. Start by entering the service member's name in the first field (Last, First, Middle Initial). Ensure the spelling is accurate for proper identification.
  3. Next, input the service member's social security number in the designated section. This information is crucial for identification and reference.
  4. Indicate the branch of service by selecting the appropriate option from the dropdown menu, whether it's Army, Navy, Air Force, Marine Corps, or Coast Guard.
  5. Fill in the unit of assignment, followed by the complete unit address, including the street, city, state, and 9-digit ZIP code.
  6. In the examination results section, the examining dentist needs to assess the dental health of the individual. They should mark (X) the block that best describes the condition of the member after a thorough examination.
  7. If applicable, indicate whether X-rays were consulted by selecting ‘Yes’ or ‘No’ and, if ‘Yes,’ include the date when the X-ray was taken in the specified format (YYYYMMDD).
  8. Complete the dentist's information by entering their name (Last, First, Middle Initial), address, and telephone number, ensuring that all details are clear and correct.
  9. The dentist is required to sign the form and provide their state license number in the designated section. This acknowledgment affirms the accuracy of the examination.
  10. Lastly, enter the date of examination in the specified format (YYYYMMDD) to finalize the completion of the form.
  11. Review all entered information for accuracy before saving your changes. Once confirmed, options to download, print, or share the completed Dd2813 form should be available.

Complete the Dd2813 form online today to ensure a seamless dental health assessment process.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Dental - dd2813 - Coast Guard Reserve
notwithstanding any other provision of law, no person shall be subject to any penalty for...
Learn more
Army Publishing Directorate
Army DA administrative publications and forms by the Army Publishing Directorate APD. The...
Learn more
Dental - dd2813 - Coast Guard Reserve
notwithstanding any other provision of law, no person shall be subject to any penalty for...
Learn more

Related links form

State And Local Indirect Cost Rate Proposals - NVTI History Day In Colorado Volunteer Form - University Of Colorado ... Superior Court JusticesMass.gov Forensic Psychiatry Application - University Of Colorado Denver

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Teeth should be examined to evaluate possible dental decays, fractures, mobility, defects in restorations, gingival recession and bone loss with inspection, palpation and percussion. The hard palatal mucosa is characterized by keratinized epithelium and covered by a series of fibrous ridges or rugae.

The Army, Navy and Air Force all offer a Health Professional Scholarship Program for students entering dental school. School will be fully funded for 2, 3 or 4 years depending on what level of scholarship you receive.

Types of Dental Exams Comprehensive exams are completed at your initial checkup and occasionally repeated every several years. They consist of a full mouth series of x-rays, oral cancer screening, gum disease evaluation, TMJ exam, review of underlying health problems, and thorough assessment of each of your teeth.

Class 3: Patient with an oral condition that, if not treated, is expected to result in dental emergencies within the next 12 months. Class 4: Patient who requires a dental examination and whose dental classification is unknown.

Class 2: Patient with an oral condition that has the potential but is not expected to result in dental emergencies within a 12 month period. Class 3: Patient with an oral condition that, if not treated, is expected to result in dental emergencies within the next 12 months.

Type 3, Other Examination - emergency oral examination. Type 4, Screening Evaluation - dental processing of requits without necessarily being examined by a dentist.

As a General Dentist, you'll gain valuable experience and start building your practice as a member of the distinguished U.S. Army Dental Corps.

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.

Department of Defense Active Duty/Reserve/Guard/Civilian Forces Dental Examination Form (DD Form 2813) This form is used to used to assist active duty and National Guard and Reserve members in documenting dental health for worldwide duty. It should be downloaded and given to the dental provider to complete.

Important: Dental Readiness Classifications 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.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Dd2813
Get form
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
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