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Dental Technican, Volume 2 - Dentist training manual for military dentists | Next
Figure 2-23.—Dental Treatment Form (EZ603A) |
Figure 2-22.—Dental Exam Form, BUMED-approved EZ603.
INSTRUCTIONS FOR COMPLETING
THE BACK OF THE EZ603
The reverse side of the EZ603 (which is blank) is
provided for recording the narrative comments
associated with the dental exam and related
consultation. Commands are authorized to overprint
this section with command specific formats that will
facilitate the completion of the dental examination.
For placement in the Dental Record, the EZ603 is
placed with the Plan or "P" side facing up. It is located
on top of any accompanying EZ603As and under the
Current Status Form.
INSTRUCTIONS FOR COMPLETING
THE EZ603A
This form (fig. 2-23) functions the same as the old
SF603 (side 2) and SF603A with the exception of no
pictographs of the teeth. Record the completion of all
dental treatment such as the treatment plan, dental
emergencies, results from Report of Medical
Examination (SF 88), and any other narrative dental
findings on the EZ603A.
An additional column has been added on the far
left side to indicate the tooth number (s) of the
treatment provided on that date. This will facilitate
2-22
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