DD 2813 2017 free printable template

DENTIST S TELEPHONE NUMBER Include Area Code 10. DENTIST S SIGNATURE/STATE LICENSE NUMBER DD FORM 2813 OCT 2013 PREVIOUS EDITION IS OBSOLETE. 11. DEPARTMENT OF DEFENSE ACTIVE DUTY/RESERVE/GUARD/CIVILIAN FORCES DENTAL EXAMINATION OMB No* 0720-0022 OMB approval expires Aug 31 2016 The public reporting burden for this collection of information is estimated to average 3 minutes per response including the time for reviewing instructions searching existing data sources gathering and maintaining the...

How to fill out DD 2813

How to fill out DD 2813

1. Obtain the DD 2813 form from your unit or the official military website.
2. Fill in your personal information in the designated fields, including your name, rank, service number, and unit.
3. Indicate the type of examination or service you are requesting.
4. Provide details regarding any medical history or current medications as required.
5. Sign and date the form to certify that the information provided is accurate.
6. Submit the completed DD 2813 to the appropriate medical facility or office for processing.

Who needs DD 2813?

1. The DD 2813 form is required by military service members seeking dental care or dental services.
2. It is needed for those who are undergoing a dental examination or treatment within the military healthcare system.

Instructions and Help about DD 2813

Laws calm legal forms guide a DD Form 2813 is a Department of Defense form used for gathering dental information for military members who will spend an extended period of time away from dental services the form is used by military physicians to determine if an applicant is fit for extended service away from dental help the DD Form 2813 is available on the Department of Defense documentation website or can be supplied through the chain of command to begin filling out the DD Form 2813 you must bring the form with you to a dental professional who can give you an examination provide your personal information in boxes 1 through 5 provide your name social security number branch of service unit and unit address the rest of the form needs to be filled out by a dentist in box 6 the dentist must rate the candidates dental condition with either a good dental rating some oral conditions which won't result in a dental emergency within 12 months or oral conditions which will result in a dental emergency within 12 months if the dentist determines that a dental emergency will arise within 12 months he or she must indicate what dental conditions exist the dentist should further describe the dental conditions if any are present that would cause a dental emergency within 12 months if x-rays were conducted on the applicant the dentist must indicate the date they were taken the dentist will then provide their name and contact information in boxes 7 through 11 once the dentist signs off on the DD Form 2813 the form is ready for submission to the Department of Defense at the address provided on the top of the form to watch more videos please make sure to visit laws calm

What is form dd 2813 dental?

Department of DefenseDepartment of Defense(11) The term “Defense Agency” means an organizational entity of the Department of Defense— (A) that is established by the Secretary of Defense under section 191 of this title (or under the second sentence of section 125(d) of this title (as in effect before October 1, 1986 )) to perform a supply or service activity ...www.law.cornell.edu › definitions › uscodeDefinition: Defense Agency from 10 USC § 101(a)(11) | LII / Legal ... Active DutyActive DutyThe term “active duty” means full-time duty in the active military service of the United States. ... Such term does not include full-time National Guard duty.www.law.cornell.edu › uscode › text10 U.S. Code § 101 - Definitions | U.S. Code | US Law | LII / Legal .../Reserve/Guard/Civilian Forces Dental Examination Form (DD FormDD FormDD FORM stands for "Department of Defense Form"acronymsandslang.com › definition › DD FORM-meaningWhat does DD FORM mean? - Definition of DD FORM - DD FORM ... 2813) This form is used to used to assist active duty and National GuardNational GuardThe Governor can activate National Guard personnel to "State Active Duty" in response to natural or man-made disasters or Homeland Defense missions. State Active Duty is based on State statute and policy and on State funds. Soldiers and Airmen remain under the command and control of the Governor.en.wikipedia.org › wiki › United_States_National_GuardUnited States National Guard - Wikipedia and Reserve members in documenting dental health for worldwide duty. It should be downloaded and given to the dental provider to complete.

People Also Ask about

What is the form for Tricare active duty dental program?

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. If you would like to nominate your dentist for participation with United Concordia, please submit the Nominate My Dentist form.

Do active duty members have a DD-214?

Only regular Air Force, or active duty members, will receive a DD Form 214 prior to separating.

What are the dental standards for the Army?

An enlisting soldier must be free of cavities and have all dental work to address tooth decay completed by the time they are sworn in. If cavities are detected, this will not bar you from joining the military as long as you get the required fillings by the time you are sworn in.

What is DD form 2813?

This form is meant to determine fitness for prolonged duty without ready access to dental care and is not intended to address the member's comprehensive dental needs. (1) Patient has good oral health and is not expected to require dental treatment or reevaluation for 12 months.

What is DD-214 for active?

Your military discharge papers are officially known as DD Form 214, or just DD214. All veterans receive this Certificate of Release or Discharge from Active Duty once they are out of the military. In a nutshell, the DD214 is proof of your military service. All branches use this same form.

What is the military form for active duty?

DD Form 214, Discharge Papers and Separation Documents A Report of Separation is generally issued when a service member performs active duty or at least 90 consecutive days of active duty training.

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What is DD 2813?

DD Form 2813 is a Department of Defense form used for reporting the dental health status of military personnel and their eligible family members.

Who is required to file DD 2813?

Active duty military personnel, reservists, and eligible family members are required to file DD 2813 to ensure proper dental care and treatment.

How to fill out DD 2813?

DD 2813 should be filled out by providing personal identification information, dental health status, and any treatment needs. Specific sections require details on existing dental problems and prior treatments.

What is the purpose of DD 2813?

The purpose of DD 2813 is to gather comprehensive information about the dental health of military personnel and their families, which aids in the planning and provision of necessary dental care.

What information must be reported on DD 2813?

Information reported on DD 2813 includes patient identification, dental health status, history of dental problems, and recommendations for further treatment or care.