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Dd form 2322-2026
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- Click ‘Get Form’ to open the DD Form 2322 in the editor.
- Begin by entering the name of the dental laboratory and the local case number in the designated fields at the top of the form.
- Fill in the treatment facility's name, mailing address, and DSN number. This information is crucial for proper documentation.
- Next, provide the patient's full name, grade, age, and relevant dates such as when the case was initiated, received, and completed.
- In sections regarding teeth and prosthesis details, specify tooth numbers, shade guide, mold types, and any laboratory remarks or instructions.
- Complete additional fields related to metals used and any requests for processes like framework only or fully fabricate.
- Finally, ensure that all signatures are provided by both the dental officer and laboratory officer before submitting your form.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2009 | 4.8 Satisfied (196 Votes) |
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May 31, 1990 Prescribed Form. DD Form 2322. Dental Statistical Reporting. Mailing Label. Dental Laboratory Work Authorization. A-1. Page 19. APPENDIX B.Read more
The value will have the format of MM/DD/YY. A separate. OS/390 indexer. 181 2322 - 2577. Value of field 10 (256 bytes). 2578 - 2833. Value of field 11Read more