What is a DD Form 2766?

Purpose. This letter prescribes two forms: DD Form 2766 (Adult Preventive and Chronic Care Flowsheet) and DD Form 2766C (Adult Preventive and Chronic Care Flowsheet- Continuation Sheet).

How do I access DD 2766?

a. DD 2766 is available through the Navy supply system using S/N 0102-LF-984- 8400 and the DD 2766C is available using S/N 0102-LF-984-9600 ordering through the Navy Forms OnLine Web site at: http://forms.daps.dla.mil, these forms may not be reproduced; they must be used in the "card stock" format.

Get DD 2766 2000-2024

in sub block) (1) IMMUNIZATION (2) DATE (ddmmmyyyy) (1) IMMUNIZATION (2) DATE (ddmmmyyyy) (1) IMMUNIZATION a. HEP A #1 f. MMR #1 g. MMR #2 h. PNEUMOCOCCUS l. YELLOW FEVER (LAST) d. HEP B #2 i. POLIO OPV=O IPV = I (2) DATE (ddmmmyyyy) k. TD (DUE) c. HEP B #1 (1) IMMUNIZATION j. TD (q 10 YRS) (Last) b. HEP A #2 (2) DATE (ddmmmyyyy) m. YELLOW FEVER n. TYPHOID (Enter numeric class (1) DATE in sub block) Oral=O, TYPHUM VI=1, TYPHOID USP = 2 o. ANTHRAX p. PPD (Enter mm and date) (2.

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