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How to use or fill out DA Form 4466 with our platform
- Click ‘Get Form’ to open DA Form 4466 in the editor.
- 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.
- Proceed to Section II if applicable. Fill in the 'New Patient MACOM for PCS Gain/Reassignment'.
- In Section III, provide physician details including 'Diagnosis', 'Diagnosis Code', and the physician's name and grade. Ensure you sign where indicated.
- Complete Sections IV through VII as necessary, checking boxes for recommendations and assessments, and providing signatures where required.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2001 | 3.8 Satisfied (29 Votes) |
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