DD Form 2813 - Department of Defense Active Duty/Reserve/Guard/Civilian Forces Dental Examination is a form used for gathering dental information on service members about to spend an extended period of time away without of access to dental services.
The DD 2813 - or the Military Dental Form - is completed by the dental treatment facility (DTF) or civilian provider and the gathered information is stored within personnel medical files. The related Standard Form 603, Health Record - Dental can be used for the same purposes.
The examination form - often incorrectly referred to as the DA Form 2813 - was revised by the Department of Defense (DoD) in March 2013. A fillable copy of the DD Form 2813 can be downloaded below or can be supplied through the chain of command.