PURPOSE: To collect patient information necessary to determine the patient’s readiness to participate in a military deployment. ROUTINE USES: Information in your records may be disclosed to other components within the Department of Defense to determine your readiness to participate in a military deployment.

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(d) Periodontal Conditions: Acute gingivitis or preicoronitis, active moderate to advanced periodontitis, periodontal abscess, progressive mucogingival condition, moderate to heavy sub …

PRINCIPAL PURPOSE(S): To obtain information in order to record an assessment of an individual's dental health.

Official websites use .mil . A .mil website belongs to an official U.S. Department of Defense organization in the United States.

2024年11月21日 · United Concordia's network dentists will file claims for you. But, if you're authorized to visit a non-network dentist, you may have to submit your own claims. This form is used to used to assist active duty and National Guard and Reserve members in documenting dental health for worldwide duty.

Download Form 2813 – Dental Examination. DD Form 2813 is fillable. The Soldier completes Sections 1-5. Print out the form and take it to your non-Army Dental provider. The non-Army...

Title: DD Form 2813 Department of Defense Active Duty Reserve Guard Ci Created Date [) O 8QÝ{ý Ë `Õà ×wÐMRl ¤àÆ `X ]{s Ôh`À ¦

2019年6月20日 · Dear Doctor, The individual you are examining is an Active Duty/Guard/Reserve member of the United States Armed Forces. This member needs your assessment of his/her dental health for worldwide duty.

PURPOSE: To collect information necessary to determine your readiness to participate in a deployment with the U.S. Armed Forces. ROUTINE USE(S): Your information may be shared with other Federal...

2016年8月31日 · DD Form 2813 Department of Defense Active Duty / Reserve / Guard / Ci DoD Active Duty/Reserve Forces Dental Examination DD 2813 20160831 OMB: 0720-0022

Dear Doctor, The individual you are examining is an Active Duty/Guard/Reserve member of the United States Armed Forces. This member needs your assessment of his/her dental health for …

Current DD-2807-1, “Report of Medical History” no older than one year will be required for Long Term Training or to inform Medical Affairs of a new medical condition. A self-reported DD-2807-1 is no longer. required for permanent promotion.

2024年11月21日 · Learn more about what we cover - including health, dental, and pharmacy. Need Larger Text? The TRICARE Dental Program (TDP) is a voluntary dental plan. Sponsors can enroll through the Beneficiary Web Enrollment website. You can enroll if you're a: Family member of an active duty service member. Family member of a National Guard/Reserve member.

2023年1月20日 · DD Form 2813 is a document that is used by the Department of Defense to keep track of those individuals who are allowed access to classified information. It is a crucial step …

PRINCIPAL PURPOSE(S): An assessment by a dentist of the information may result in delays in assessing your dental state of your dental health for the next 12 months is needed to determine your fitness for prolonged duty without ready health needs for military service. access to dental care. 1. SERVICE MEMBER'S NAME (Last, First, Middle Initial) 2.

Find a dentist near you with the TRICARE Dental Program.

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