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U.S. DOD Form dod-af-af-1466d DENTAL HEALTH SUMMARY To be completed by dental provider This Form is subject to the Privacy Act of 1974 USE BLANKET PAS DD FORM 2005 PRINCIPAL PURPOSE An assessment by a dentist is needed to determine your dental health as part of the family member relocation clearance for travel. If you are enrolled in the TRICARE Dental Plan your civilian dentist completes this form. If you are not enrolled in the TRICARE Dental.

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