Da form 4466-2026

1. Click ‘Get Form’ to open DA Form 4466 in the editor.
2. Begin with Section I - Identification. Enter the 'Date of Report' in YYYYMMDD format, followed by the 'Patient Identification' and 'Service Area Code'. Select the appropriate reason for the report from options A to F.
3. Proceed to Section II if applicable. Fill in the 'New Patient MACOM for PCS Gain/Reassignment'.
4. In Section III, provide physician details including 'Diagnosis', 'Diagnosis Code', and the physician's name and grade. Ensure you sign where indicated.
5. Complete Sections IV through VII as necessary, checking boxes for recommendations and assessments, and providing signatures where required.

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