Table 2 2 Forms and documents of the Dental Record Outpatient , DA Form 3984 Dental Treatment Plan SF 513 Medical Record Consultation Sheet SF 519B Radiologic Consultation Request Report SF 522 of the DA Form 3444 series see para 1 6c AR 40 2 LEFT SIDE OF FOLDER Form Number Form Title and Notes DA Form 5570 Health Questionnaire For Dental Treatment . Dental Treatment Plan Preventive Dentistry, The DA Form 3984 Dental Treatment Plan may be used to record the treatment plan and to serve as a functional outline for dental treatment see figures 2 1 and 2 2 This form must be retained as a part of the patient s dental health record until the treatment plan has been accomplished or superseded
.Da Form 3984
Da Form 3984
Table 2 2 Forms and documents of the Dental Record Outpatient
DA Form 3984 Dental Treatment Plan SF 513 Medical Record Consultation Sheet SF 519B Radiologic Consultation Request Report SF 522 of the DA Form 3444 series see para 1 6c AR 40 2 LEFT SIDE OF FOLDER Form Number Form Title and Notes DA Form 5570 Health Questionnaire For Dental Treatment .
Dental Treatment Plan General Duties of the Dental Specialist
Health record is DA Form 3984 Dental Treatment Plan figure 2 7 This form is designed to serve as a functional outline for the accomplishment of complex dental treatment It provides a systematic approach to clinical dental care and aids in the achievement of optimum results in dental treatment Figure 2 7 DA Form 3984 Dental Treatment .
https://www.armyreal.com/forms/pdf/A3984.PDF
For use of this form see TB MED 250 proponent agency is Office of TSG 3 31 Check items in Column c to indicate treatment planned If sequence of treatment is other than that printed in column b use numbers 1 thru 10 in column c to show desired order SECTION I PLANNED TREATMENT AND SEQUENCE OF ACCOMPLISHMENT
http://armymedical.tpub.com/md0751/Forms-and-documents-of-the-Dental-Record-Outpatient-Medical-Records-Branch-50.htm
DA Form 3984 Dental Treatment Plan SF 513 Medical Record Consultation Sheet SF 519B Radiologic Consultation Request Report SF 522 of the DA Form 3444 series see para 1 6c AR 40 2 LEFT SIDE OF FOLDER Form Number Form Title and Notes DA Form 5570 Health Questionnaire For Dental Treatment
span class result type PDF span Da Form 3984 Dec 1972
For use of this form see TB MED 250 proponent agency is Office of TSG 3 31 SECTION I PLANNED TREATMENT AND SEQUENCE OF ACCOMPLISHMENT 1 CONSULTATION DESIRED If yes complete Section III on reverse side L I N E C O D E a TYPE TREATMENT PLANNED SE QUENCE ACCOM PLISHED CHART 12 REMARKS OR INSTRUCTIONS RIGHT LEFT SECTION II .
Fillable Form DA 3984 Edit Sign Download in PDF PDFRun
HOME FORM DA 3984 Back to FORM 30 votes Rate Me Form was filled out and downloaded 1 006 times already Fillable Form DA 3984 DENTAL TREATMENT PLAN FILL ONLINE EMAIL SHARE ANNOTATE FILL ONLINE FILL ONLINE Contents What is DA 3984 How to fill out DA 3984 FAQs about DA 3984 FILL ONLINE .
DA Form 3984 Dental Treatment Plan Forms Docs 2023 Blanker
DA Form 3984 Dental Treatment Plan is a document used by the Department of the to outline and authorize dental treatment for military personnel The form captures important information about the patient s dental condition proposed treatment and any associated costs The form consists of sections where the dentist provides information about .
DA FORM 3984 Fillable Army Pubs 3984 PDF daformfillable
What is DA FORM 3984 DA FORM 3984 titled Dental Treatment Plan is an essential document used by military dental professionals It provides a clear and organized way to document the dental care and treatment plans for service members As an active form it plays a critical role in ensuring that personnel receive the appropriate dental care necessary to keep them healthy and mission ready .
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