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Get Da 7655 2009
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How to fill out the DA 7655 online
The DA 7655 form is crucial for documenting visual performance and spectacle prescriptions for members of the United States Armed Forces. Completing this form accurately online ensures that medical readiness data is effectively captured and communicated.
Follow the steps to fill out the DA 7655 efficiently.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the service member's name in the specified format (Last, First, Middle Initial) in the designated field.
- Input the date of birth of the service member in the appropriate field.
- Fill in the branch of service for the service member.
- Provide the unit of assignment, ensuring it is accurate and up to date.
- Complete the unit address where the service member is assigned.
- For the examination results, the doctor will input the date of spectacle prescription along with the dates of vision screening.
- The doctor must complete the visual acuity assessment fields, including uncorrected and best-corrected distances for both eyes.
- If applicable, input the uncorrected near visual acuity for users over 45 years of age.
- Document the spectacle prescription in minus cylinder format as instructed, along with pupillary distance measurements.
- Indicate any ocular conditions that may present problems in austere environments and if the patient will require medication for treatment.
- Complete the doctor's information section, including printed name, state license number, address, and contact information.
- Finish by securing the doctor's signature to validate the form.
- Once all sections are accurately completed, save changes, and choose to download, print, or share the form as needed.
Begin filling out your DA 7655 online today to ensure prompt medical readiness assessment.
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When filling out the new DA Form 5960, start by gathering all required documentation like your lease and dependent information. Carefully follow the instructions outlined on the form to ensure accuracy. For additional insights on the process, refer to the DA 7655, which offers valuable guidance. By being thorough, you can effectively navigate the housing allowance application process.
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