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Figure 2-24.—Report of Medical Examination, SF 88, (front) Box 18 | Up
Dental Technican, Volume 2 - Dentist training manual for military dentists | Next
Figure 2-26.—Consultation Sheet, SF 513 |
Figure 2-25.—Report of Medical Examination, SF 88, (back) boxes 43 and 50.
ADDITIONAL DENTAL TREATMENT
and dental departments use the SF 513 (fig. 2-26) to
FORMS
refer patients from one DTF/MTF, or department to
Two other forms may be associated with dental
treatment. These forms are the Consultation Sheet, SF
513, and the Reserve Dental Assessment and
Certification, NAVMED 6600/12, which are
discussed next.
another.
Please note that SF 513 refers patients with
both dental and medical conditions needing a second
opinion or a referral to a specialist for further
evaluation or treatment. To assist you in filling out this
form, make the following entries on the SF 513:
CONSULTATION SHEET, SF 513
Dental Treatment Facilities (DTFs), Medical
Treatment Facilities (MTFs), and shipboard medical
To: Enter the name of the DTF/MTF, or depart-
red.
ment to which the patient is being refer
From: The name of the requesting facility.
2-25
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