Form DD 689 PDF Details

Keeping accurate and up-to-date documents is essential for regulatory compliance and successful operations. Form DD-689, Individual Sick Slip, simplifies this process by providing a standardized form that can be used to request medical or dental care when needed. In this blog post, we’ll look at how to accurately complete form DD 689 – from understanding the required fields and completing appropriate information.

QuestionAnswer
Form Name Form Dd 689
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names dd689, army sick call form, form sick, individual sick slip

Form Preview Example

 

 

INDIVIDUAL SICK SLIP

 

DATE

 

 

 

 

 

 

 

 

ILLNESS

INJURY

 

 

 

 

 

 

 

 

 

 

 

 

LAST NAME-FIRST NAME-MIDDLE INITIAL OF PATIENT

 

 

ORGANIZATION AND STATION

 

 

 

 

 

 

 

 

 

 

 

SERVICE NUMBER/SSN

GRADE/RATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNIT COMMANDER'S SECTION

 

 

MEDICAL OFFICER'S SECTION

 

 

 

 

 

 

 

 

 

 

IN LINE OF DUTY

 

 

 

IN LINE OF DUTY

 

 

 

 

 

 

 

 

 

 

 

REMARKS

 

 

 

DISPOSITION OF PATIENT

DUTY

QUARTERS

 

 

 

 

 

 

 

CHIEF COMPLAINT:

 

 

 

 

 

 

 

 

 

 

 

SICK BAY

HOSPITAL

 

 

___________________________________________________

 

 

 

 

NOT EXAMINED

OTHER (Specify):

 

 

___________________________________________________

 

 

 

 

REMARKS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF UNIT COMMANDER

SIGNATURE OF MEDICAL OFFICER

DD FORM 689, MAR 1963

PREVIOUS EDITIONS ARE OBSOLETE.

APD PE V2.00

 

 

INDIVIDUAL SICK SLIP

 

DATE

 

 

 

 

 

 

 

 

ILLNESS

INJURY

 

 

 

 

 

 

 

 

 

 

 

 

LAST NAME-FIRST NAME-MIDDLE INITIAL OF PATIENT

 

 

ORGANIZATION AND STATION

 

 

 

 

 

 

 

 

 

 

 

SERVICE NUMBER/SSN

GRADE/RATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNIT COMMANDER'S SECTION

 

 

MEDICAL OFFICER'S SECTION

 

 

 

 

 

 

 

 

 

 

IN LINE OF DUTY

 

 

 

IN LINE OF DUTY

 

 

 

 

 

 

 

 

 

 

 

REMARKS

 

 

 

DISPOSITION OF PATIENT

DUTY

QUARTERS

 

 

 

 

 

 

 

CHIEF COMPLAINT:

 

 

 

 

 

 

 

 

 

 

 

SICK BAY

HOSPITAL

 

 

___________________________________________________

 

NOT EXAMINED

OTHER (Specify):

 

 

___________________________________________________

 

 

 

 

REMARKS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF UNIT COMMANDER

SIGNATURE OF MEDICAL OFFICER

DD FORM 689, MAR 1963

PREVIOUS EDITIONS ARE OBSOLETE.

APD PE V2.00

How to Edit Form DD 689 Online for Free

In case you desire to fill out individual sick slip template, there's no need to download any programs - simply try our online tool. In order to make our editor better and less complicated to work with, we constantly work on new features, taking into account feedback coming from our users. Getting underway is simple! All you need to do is take the next easy steps below:

Step 1: Simply press the "Get Form Button" at the top of this webpage to open our form editing tool. Here you'll find everything that is required to fill out your file.

Step 2: With our state-of-the-art PDF tool, you may accomplish more than just fill out blank fields. Try all of the functions and make your documents seem high-quality with customized text added, or optimize the original content to excellence - all that accompanied by an ability to add stunning graphics and sign it off.

As for the blank fields of this precise form, here is what you should know:

1. It is very important fill out the individual sick slip template correctly, therefore be attentive while filling out the parts including these specific blanks:

sick slip completion process described (step 1)

2. Soon after finishing this step, go to the subsequent step and enter the essential particulars in these fields - INDIVIDUAL SICK SLIP, ILLNESS, INJURY, DATE, LAST NAMEFIRST NAMEMIDDLE INITIAL, ORGANIZATION AND STATION, SERVICE NUMBERSSN, GRADERATE, UNIT COMMANDERS SECTION, MEDICAL OFFICERS SECTION, IN LINE OF DUTY, IN LINE OF DUTY, REMARKS, CHIEF COMPLAINT, and DISPOSITION OF PATIENT.

sick slip writing process explained (part 2)

3. This next part should also be pretty straightforward, SIGNATURE OF UNIT COMMANDER, SIGNATURE OF MEDICAL OFFICER, DD FORM MAR, PREVIOUS EDITIONS ARE OBSOLETE, and APD PE v - each one of these form fields needs to be completed here.

Writing segment 3 of sick slip

You can easily get it wrong when filling in your SIGNATURE OF MEDICAL OFFICER, thus make sure you reread it before you decide to send it in.

Step 3: Right after double-checking the filled in blanks, press "Done" and you're all set! Make a 7-day free trial subscription at FormsPal and get instant access to individual sick slip template - download, email, or edit in your FormsPal account page. FormsPal guarantees your information privacy by using a secure system that never saves or shares any kind of private data involved in the process. Feel safe knowing your documents are kept protected any time you work with our editor!