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Dear Doctor, The individual you are examining is an Active Duty/Guard/Reserve/Civilian member of the United States Armed Forces. This member needs your assessment of his/her dental health for worldwide duty.
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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.
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 dentist...
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...
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...
The DD Form 2813, “Department of Defense Active Duty/Reserve/Guard/Civilian Forces Dental Examination” is used by members of the Active and Reserve Components of the Armed Forces and certain DoD civilians to enable civilian dentists to document and report their dental health status.