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  2. INDIVIDUAL SICK SLIP - Executive Services Directorate

    www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd0689.pdf

    individual sick slip. 1. medical condition (brief description) illness. injury 2. date (yyyymmdd) 3. patient's name (last, first, middle initial) 4. dod id number 5. grade / rank 6. organization and station unit commander's section 7. in line of duty. 8. remarks 9. signature of unit commander medical officer's section 10. in line of duty

  3. INDIVIDUAL SICK SLIP - TRICARE

    leonard-wood.tricare.mil/Portals/144/IndividualSickSlip_dd689.pdf

    individual sick slip illness injury date last name - first name - middle initial of patient service number/ssn grade/rate organization and station ... in line of duty disposition of patient duty quarters sick bay hospital not examined other (specify): remarks signature of medical officer dd form 689, mar 63. previous editions are obsolete ...

  4. DD689 - Executive Services Directorate

    www.esd.whs.mil/Directives/forms/dd0500_0999/DD689

    Form Number: DD 689. Title: Individual Sick Slip. Edition Date: 08/01/2017. Authority: AR 40-66; AFI 41-210. For use of this form please contact: The Department of the Army.

  5. INDIVIDUAL SICK SLIP DATE - armyreal.com

    www.armyreal.com/forms/pdf/dd_forms/D689.PDF

    individual sick slip unit commander's section medical officer's section disposition of patient dd form 689, mar 63 previous editions are obsolete. usappc v2.00 sick bay duty hospital quarters not examined other (specify): illness injury remarks last name-first name-middle initial of patient service number/ssn in line of duty in line of duty date

  6. Department of the Army FLW Regulation 40-2 Fort Leonard Wood,...

    home.army.mil/wood/index.php/download_file/force/8136/937

    all permanent party will report to sick call for acute medical care. Sick call hours of operation are 0630-0830 Monday through Friday except for Federal Holidays. If care is needed, but not...

  7. DD Form 689 Individual Sick Slip - TemplateRoller

    www.templateroller.com/template/1727873/dd-form-689-individual-sick-slip.html

    DD Form 689, Individual Sick Slip, is a document given to a patient who wants to receive or request medical or dental care or evaluation at an Army Military Treatment Facility (MTF). The DD 689 may be used as evidence of communication between the attending AMEDD personnel and the unit commander of the military member.

  8. 1 DOCUMENTATION SICK CALL AND

    medcoeckapwstorprd01.blob.core.usgovcloudapi.net/pfw-images/dbimages/68w...

    THE SICK CALL PROCESS The Department of Defense (DD) Form 689, Indi-vidual Sick Slip (Figure 1-2), is used when initiating the sick call process. This form is used when a soldier requests or receives medical or dental treatment at an Army medical treatment facility (MTF). In addition, the DD Form 689, Individual Sick Slip, is also used as

  9. MEDICAL RECORDS AND SICK CALL PROCEDURES - Operational Medicine

    www.operationalmedicine.org/Army/MD0920.pdf

    As a medical specialist assigned to an Army medical treatment facility or to a field unit, you want to do your best in providing care to your patients. One key to good patient care is communication. Many times this communication takes place through the use of forms, records, and reports.

  10. Form DD 689 – Fill Out and Use This PDF - FormsPal

    formspal.com/pdf-forms/other/form-dd-689

    This form, essentially an individual sick slip, serves as a clear channel of communication between unit commanders, medical officers, and the military healthcare system, enabling a structured approach to the management of illnesses and injuries within the armed forces.

  11. AR 600-6 Individual Sick Slip DD Form 689 - AskTOP

    asktop.net/.../references/army-regulations/ar600-6individual-sick-slip-dd-form-689

    This regulation prescribes policy and procedures for the preparation, use, and disposition of DD Form 689 Individual Sick Slip. The Individual Sick Slip will be issued to a patient who either requests or receives medical or dental treatment or evaluation at an Army medical treatment facility.