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Get Dd 2813 2021-2026

Rmitted uses and disclosures of PHI include, but are not limited to, treatment, payment, and healthcare operations. APPLICABLE SORN: EDHA 07, Military Health Information System, (June 15, 2020, 85 FR 36190) https://dpcld.defense.gov/Portals/49/Documents/Privacy/ SORNs/DHA/EDHA-07.pdf DISCLOSURE: Voluntary. However, failure to provide the information requested may result in delays in assessing your dental health needs for military service and/or for possible deployment. 1. SERVICE MEMBER'S.

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How to fill out the DD 2813 online

The DD 2813 is a crucial document used for the dental examination of active duty, reserve, guard, and civilian forces of the Department of Defense. This guide provides comprehensive, step-by-step instructions to help users complete the form online accurately and effectively.

Follow the steps to fill out the DD 2813 online successfully

  1. Press the ‘Get Form’ button to access the DD 2813 and open it in your chosen editor.
  2. Begin by filling in the service member's name in the designated field (Last, First, Middle Initial).
  3. Enter the service member's DoD ID Number in the appropriate box.
  4. Indicate the unit of assignment by typing the relevant information in the corresponding field.
  5. Provide the unit address where indicated.
  6. Select the branch of service from the available options in the respective section.
  7. The examining dentist must assess dental health and select the relevant outcome from the examination results section, marking the appropriate block.
  8. If the dentist marks block (3) regarding conditions requiring immediate attention, they should provide additional descriptions if necessary in the given space.
  9. Include the date the X-ray was taken, if applicable, in the format YYYYMMDD.
  10. The dentist should input their name, telephone number, and license number in the corresponding fields.
  11. Ensure the dentist provides their signature and the date of examination in the specified sections.
  12. After completing all necessary sections, review the form for accuracy, then proceed to save the changes, download, print, or share the completed form as needed.

Complete your DD 2813 online today to ensure efficient processing of your dental examination.

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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.

The DD Form 2813, DoD Active Duty/Reserve Forces Dental Examination, will be used to assist the TDP-enrolled National Guard/Reserve forces in documenting member dental health.

To view DOD Forms, Directives, and Instructions, visit the following link: https://www.esd.whs.mil/DD/. From this main page, click on the DOD Forms or DOD Issuances drop-down menus in the toolbar to search for a specific form, directive or instruction by issuance number or subject matter.

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