*** PRIVACY NOTIFICATION: Do not send the Dental DD 2813 over unsecured/unencrypted e-mail because it will contain your social security number. We provide the form for you to print out so that your provider can complete the relevant information. Once complete, please use proper protection of this PII form.
AFI 48-123 10.4.2. ARC Member. Each ARC member is responsible for promptly (within 72 hrs) reporting an illness, injury, disease, operative procedure or hospitalization not previously reported to his or her commander or supervisor, and supporting medical facility personnel IAW AFI 36-2910.
Any concealment or claim of disability made with the intent to defraud the government results in possible legal action and possible discharge from the ARC.
Office located in the 315th AMDS Bldg 366 Joint Base Charleston