CONUSOCONUSOCONUS TollMail. Download Form – Dental Examination. (2) Patient has some oral conditions, but you do not expect these conditions to result in Department of Defense Active Duty/Reserve/Guard/Civilian Forces Dental Examination Form (DD Form) This form is used to help active duty and National Guard and Reserve members in documenting dental health for worldwide duty. The Soldier completes Sections Print out the form and take it to your non-Army Dental provider Online Form Download DD Form (Guard ReserveDental Readiness Classification) The DD Form, DoD Active Duty/Reserve Forces Dental Examination, will be used FORCES DENTAL EXAMINATION OMB NoOMB approval expiresPLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. Note: This option isn't available overseas. The Soldier completes Sections Print out the form and take it to your non-Army Dental provider. Download the TRICARE Dental Program Enrollment/Change Authorization. Mail it with your first monthly premium to United Concordia Online Form Download DD Form (Guard ReserveDental Readiness Classification) The DD Form, DoD Active Duty/Reserve Forces Dental Examination, will be used to assist the TDP-enrolled National Guard/Reserve forces in documenting member dental health It should be downloaded and given to the dental provider to complete Download Form – Dental Examination. DD Form is fillable. The non-Army dentist completes Section It is the Soldier’s responsibility to ensure that the form is sent to the proper place Select the Dental tab to enroll in a dental plan. DD Form is fillable. (1) Patient has good oral health and is not expected to require dental treatment or reevaluation formonths. Phone. PRIVACY ACT Click this link to download Form % If a civilian dental exam is accomplished when a military exam is not required, it must be documented on a DD Form, Department of Defense Active Duty/Reserve Forces This form determines fitness for prolonged duty without ready access to dental care and is not intended to document comprehensive dental needs.
CONUSOCONUSOCONUS TollMail. Download Form – Dental Examination. (2) Patient has some oral conditions, but you do not expect these conditions to result in Department of Defense Active Duty/Reserve/Guard/Civilian Forces Dental Examination Form (DD Form) This form is used to help active duty and National Guard and Reserve members in documenting dental health for worldwide duty. The Soldier completes Sections Print out the form and take it to your non-Army Dental provider Online Form Download DD Form (Guard ReserveDental Readiness Classification) The DD Form, DoD Active Duty/Reserve Forces Dental Examination, will be used FORCES DENTAL EXAMINATION OMB NoOMB approval expiresPLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. Note: This option isn't available overseas. The Soldier completes Sections Print out the form and take it to your non-Army Dental provider. Download the TRICARE Dental Program Enrollment/Change Authorization. Mail it with your first monthly premium to United Concordia Online Form Download DD Form (Guard ReserveDental Readiness Classification) The DD Form, DoD Active Duty/Reserve Forces Dental Examination, will be used to assist the TDP-enrolled National Guard/Reserve forces in documenting member dental health It should be downloaded and given to the dental provider to complete Download Form – Dental Examination. DD Form is fillable. The non-Army dentist completes Section It is the Soldier’s responsibility to ensure that the form is sent to the proper place Select the Dental tab to enroll in a dental plan. DD Form is fillable. (1) Patient has good oral health and is not expected to require dental treatment or reevaluation formonths. Phone. PRIVACY ACT Click this link to download Form % If a civilian dental exam is accomplished when a military exam is not required, it must be documented on a DD Form, Department of Defense Active Duty/Reserve Forces This form determines fitness for prolonged duty without ready access to dental care and is not intended to document comprehensive dental needs.
Français
English
Deutsch
Español
Italiano
Português