Get Dd 2322 2009-2025

Filling out the DD 2322 form online is a crucial task for ensuring accurate dental laboratory work authorizations. This guide provides step-by-step instructions to help users complete the form efficiently, ensuring all necessary information is provided correctly.

Follow the steps to complete the DD 2322 form online

1. Press the ‘Get Form’ button to access the DD 2322 and open it in your online editor.
2. Begin by entering the name of the dental laboratory in the designated field labeled 'Name of Dental Laboratory'. Include the local case number in the corresponding field to keep track of your submission.
3. Proceed to fill in the name of the treatment facility along with its mailing address and DSN number in the specified section.
4. In the patient information section, provide the patient’s name in the format of last name, first name, and middle initial. Input their grade and age in the respective fields.
5. Record the date initiated in the appropriate section and follow this by entering the received and completed dates as applicable.
6. Fill in the details for the teeth, facings, or pontics, including the location, tooth numbers, shade guide, and mold for both maxillary and mandibular sections.
7. Indicate the beneficiary type and provide the organization, duty, and home telephone numbers in the specified fields.
8. Enter the date forwarded and date delivered to track the timeline of the case.
9. Specify the type of prosthesis or restoration being requested and note the shade and mold based on the guide.
10. Complete the articulator, metals voucher number, and details about the metals used in the fabrication process. Ensure to fill out the quantity and settings accurately.
11. Add any laboratory remarks, special instructions, or consultation reports as required.
12. Select the corresponding processes and requests by checking the appropriate boxes, ensuring to review all requests for accuracy.
13. Provide the clinician's remarks or instructions and fill in the typed name and grade of the dental officer.
14. Securely sign the form in the designated signature area provided for the dental officer as well as the laboratory officer.
15. Once you have completed all sections of the form, save your changes, and choose to download, print, or share the DD 2322 as needed.

Complete your documents online efficiently and ensure accurate submissions today.