Get Navmed 6700 12

The Navmed 6700 12 form is essential for requesting capital equipment valued at $100,000 and above for medical or dental facilities. This guide provides clear and detailed instructions on how to effectively complete the form online, ensuring that all necessary information is accurately provided to streamline the request process.

Follow the steps to successfully complete the Navmed 6700 12 online form

1. Press the ‘Get Form’ button to access the Navmed 6700 12 form and open it in the online editor.
2. Provide your medical or dental facility details including name, shipping address, UIC, and ACN.
3. Indicate the branch medical/dental clinic and respective UIC.
4. Set the command priority and specify the requesting department or division along with the department/division code.
5. Fill out the equipment type code and standard nomenclature.
6. In the item description/supporting justification section, provide a detailed description of the equipment including manufacturer and model number, ensuring to include all accessories.
7. Define essential characteristics needed for the equipment and state any unique requirements. Also, clarify if local maintenance and support from the manufacturer is critical.
8. Complete the justification section which includes a cost/benefit analysis, and document current equipment functions and anticipated mission impacts.
9. Specify if the new equipment is replace or upgrade, and provide details of existing equipment to be replaced.
10. Nominate a clinical point of contact, department head, and facility manager, ensuring all signatures and dates are present.
11. Evaluate any computer requirements or facility modifications needed for installation and document these considerations.
12. Finally, attach any necessary supporting documents such as facilities survey, maintenance history, or manufacturer's literature.
13. Once all fields are completed, save your changes, download the form, or share it as needed.

Complete your Navmed 6700 12 form online today for a smooth submission process!