Af 1466d form 2026

1. Click ‘Get Form’ to open the af 1466d form in the editor.
2. Begin by entering the patient's name in section 1a, followed by the sponsor's SSN and family member prefix in sections 1b and 1c respectively.
3. In section 2, the dental provider should assess the patient's oral health. Mark the appropriate block that describes the condition based on a clinical examination.
4. If you select block (3) or (4), circle any identified conditions from the list provided or describe them briefly in section 3, along with recommended treatments.
5. Indicate whether x-rays were consulted in section 4, and if so, provide the date taken in YYYYMMDD format.
6. Finally, complete section 5 by entering the dental provider's name, signing, and dating the form.

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