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Defense Health Agency Great Lakes DH AGL Worksheet02 Rev. 3/15/2024PREAUTHORIZATION REQUEST FOR MEDICAL CARE: RESERVE COMPONENTInstructions: Member or unit representative completes Sections I and
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Fill out the required information accurately in the medical care reserve component form.
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Provide all necessary medical history and current health information.
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Who needs medical care reserve component?

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Individuals who are part of the reserve component of the military.
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Those who may require medical care while on duty or during deployment.
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People who want to ensure that their medical information is readily available in case of emergency.
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Medical care reserve component is a health benefit program for military members in reserve and guard components.
All military members serving in reserve and guard components are required to file medical care reserve component.
Military members can fill out medical care reserve component online through the designated portal or by filling out a physical form and submitting it to the appropriate office.
The purpose of medical care reserve component is to ensure that military members in reserve and guard components have access to necessary healthcare services.
Information such as medical history, current healthcare providers, and any existing health conditions must be reported on medical care reserve component form.
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