Get Centcom Mod 13 Tab C

Filling out the Centcom Mod 13 Tab C is a crucial step in managing medical waivers for military personnel. This guide will provide you with step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to properly complete the Centcom Mod 13 Tab C form.

1. Press the ‘Get Form’ button to obtain the form and open it in your chosen editor.
2. Fill in the patient name fields: enter the last name followed by the first name.
3. Indicate the number of previous deployments the individual has had.
4. Specify the destination country for the deployment.
5. Enter the age of the individual.
6. Provide the grade of the individual.
7. Indicate the sex of the individual.
8. Fill in the years of service for the individual.
9. Include the last four digits of the individual's social security number.
10. Enter the date of birth of the individual.
11. Provide the diagnosis in lay terms, for example, 'hyperlipidemia.'
12. Indicate the service category (Active, Reserve, Guard, or Civilian).
13. Specify the expected length of the deployment.
14. State whether there have been previous waivers (Yes/No).
15. Fill in the home station of the individual.
16. Provide the Military Occupational Specialty (MOS) or job description.
17. Indicate whether the individual is currently deployed (Yes/No).
18. Enter the waiver Point of Contact (POC) name, email, and phone number. Note that this contact will receive the waiver disposition.
19. Complete the case summary with necessary clinical information, including lab values and supporting medical documentation.
20. Attach necessary documents, such as lab values and letters from providers indicating stability.
21. Sign the form to submit the request.
22. Include commander approval if required, based on the individual's status.
23. Review the waiver approval section, where the CENTCOM or component surgeon will indicate approval status.
24. Save changes, download, print, or share the completed form as needed.

Complete your Centcom Mod 13 Tab C form online today to ensure timely processing.