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Get Army Sick Call Slip

FICER PREVIOUS EDITIONS ARE OBSOLETE. USAPPC V1.00 Reset DATE INDIVIDUAL SICK SLIP ILLNESS LAST NAME-FIRST NAME-MIDDLE INITIAL OF PATIENT SERVICE NUMBER/SSN INJURY ORGANIZATION AND STATION GRADE/RATE MEDICAL OFFICER S SECTION UNIT COMMANDER S SECTION IN LINE OF DUTY IN LINE OF DUTY REMARKS DISPOSITION OF PATIENT SICK BAY DUTY QUARTERS HOSPITAL NOT EXAMINED OTHER (Specify): REMARKS SIGNATURE OF UNIT COMMANDER DD FORM 689, MAR 63 SIGNATURE OF MEDICAL OFFICER PREVIOUS EDI.

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  1. Open the form in the feature-rich online editing tool by hitting Get form.
  2. Fill out the required boxes that are colored in yellow.
  3. Press the arrow with the inscription Next to move from box to box.
  4. Use the e-autograph solution to add an electronic signature to the form.
  5. Insert the date.
  6. Double-check the entire document to be sure that you have not skipped anything.
  7. Press Done and save the new document.

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