Dd2813 2026

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CONUS non-remote Active Duty Service Members (DTF-referred) must receive a referral from their DTF before receiving civilian dental care under the ADDP. It is the DTFs responsibility to determine what care is necessary and provide a referral for the dental services that cannot be done in the DTF.
Department of Defense Active Duty/Reserve/Guard/Civilian Forces Dental Examination Form (DD Form 2813) This form is used to used to assist active duty and National Guard and Reserve members in documenting dental health for worldwide duty. It should be downloaded and given to the dental provider to complete.
The code D0190 procedure occurs where a person meets with a licensed or duly authorized health care professional in order to determine whether there are any evident clinical dental conditions that should be further investigated by a dentist.
Dental Exam (Annual) for Reserve Component Soldiers To schedule your annual dental exams, follow the instructions for the PHA and schedule through LHI. You can also have your personal dentist complete the Dental Examination Form (DD Form 2813) and submit to QTC through for the dental record update.
Dental clearance is communication between a healthcare provider and a patients dentist to validate that planned medical/surgical treatment is safe for the patient and to review the potential need for dental treatment before the medical/surgical treatment.

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You can request a waiver online using the BreEZe system at .BreEZe.ca.gov. Select the waiver application in the drop-down menu under the Manage your License Information section and attach a copy of your military orders when prompted. You can also request a waiver by sending a message to the Board.

army dental form