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Records PediatricLungTransplantCandidateRegistrationWorksheet PREAPPROVED:O.M.B.NO.09150157ExpirationDate:07/31/2020 Note:TheseworksheetsareprovidedtofunctionasaguidetowhatdatawillberequiredintheonlineTIEDIapplication.

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How to fill out dd form 877

1. To fill out DD Form 877, follow these steps:
2. Start by obtaining the form. You can find DD Form 877 on the official website of the Department of Defense or from your unit's administrative office.
3. Begin filling out the top section of the form. Enter the name, rank, and organization of the person completing the form.
4. Next, provide the patient's information. Include the patient's name, rank, service, and other required details.
5. Moving on to the next section, record the patient's complaints or condition. Be as specific and detailed as possible, providing all relevant information.
6. If any medications were administered, list them in the appropriate section along with dosage information.
7. In the following sections, document any treatments or medical procedures carried out. Include the date, description, and results.
8. Continue filling out the remaining sections of the form, providing accurate and complete information as required.
9. Once you have filled out all the necessary sections, review the form for any errors or omissions.
10. Sign and date the form to certify its accuracy and completeness.
11. Submit the completed DD Form 877 to the appropriate personnel or department as instructed.

Who needs dd form 877?

1. DD Form 877 is required for military personnel who are seeking medical care and treatment.
2. This form is used to document medical complaints, conditions, treatments, and medications administered to the patient.
3. It is typically filled out by medical personnel or the patient themselves, depending on the circumstances.
4. The form helps in maintaining accurate medical records, ensuring proper care, and facilitating communication among healthcare providers.

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