AF Form 696 – Dental Patient Medical History

FINDERDOC.COMAF Form 696 – Dental Patient Medical History – When it comes to dental health, it is important to maintain the highest standards of safety and hygiene. To ensure that patients are receiving the best possible dental care, the Air Force has developed a series of forms known as AF Forms 696 – Dental Patient Medical History. This form serves as an essential tool for dentists to keep track of their patient’s medical history, which can be essential in providing proper treatment plans and ensuring overall health and wellbeing.

Download AF Form 696 – Dental Patient Medical History

Form Number AF Form 696
Form Title Dental Patient Medical History
File Size 278 KB
Date 18-02-2020

What is an AF Form 696?

An AF Form 696 is the United States Air Force’s dental patient medical history form. It is used by military dentists to collect important information about a patient’s medical history prior to beginning treatment. This form must be filled out and signed before any treatment can begin, so it is essential that all of the information provided is accurate and up-to-date.

The AF Form 696 consists of two parts – Part I, which covers basic personal information such as name, rank, and ID number; and Part II which contains detailed questions about the patient’s medical history. Topics covered in Part II include past health conditions, allergies or reactions to medications, current medications being taken (including over-the-counter drugs), any pre-existing mental health issues or substance abuse issues, and more.

What is the Purpose of AF Form 696?

The AF Form 696, or Dental Patient Medical History form is a United States Air Force document that must be completed by active duty members of the military and their dependents in order to receive dental care. It serves as an important tool for documenting the patient’s medical history before they can receive certain types of treatment. This form is used to record any current and past illnesses, such as diabetes or heart disease, allergies, medications currently taken and other relevant information. This allows the dentist to provide care tailored specifically to each individual patient’s health history while minimizing potential risks associated with certain treatments. Additionally, this form also helps ensure that all necessary information has been collected prior to beginning a course of treatment on a new patient. The purpose of this form is ultimately to ensure that all patients are provided with safe and effective care during their visit.

Where Can I Find an AF Form 696?

The Air Force Form 696, or Dental Patient Medical History, is an important document that must be completed and submitted prior to receiving dental care at a military facility. The form includes personal information such as name, date of birth, social security number and addresses. It also requires the patient to list any medical conditions or treatments they have had in the past year.

The good news is that finding the AF Form 696 is simple and straightforward! This form can be downloaded from the Air Force website under the “Healthcare” section. Additionally, it can also be obtained by visiting any on-base clinic or dentist office and requesting a copy from staff. Finally, members of the military may request copies from their unit’s Personnel Support Detachment (PSD).

Completing this form accurately helps ensure that service members receive appropriate dental care based on their individual needs.

AF Form 696 – Dental Patient Medical History

The Air Force Form 696, also known as the Dental Patient Medical History form, serves as an important tool for dentists in the Air Force. The form is used to collect essential medical information about a patient prior to performing any dental procedures. It includes questions about past and current medical conditions and medications taken by the patient. Additionally, it requests permission from the patient to allow access of their obtained medical records from other healthcare providers. This form is necessary for all dental procedures conducted in the Air Force and must be completed by both patients and authorized family members before any treatment begins.

Completing this form allows AF personnel to ensure that their patients receive safe and effective treatments with minimal risk of adverse reactions or contraindications due to pre-existing conditions or medications taken by the patient.

AF Form 696 Example

AF Form 696 - Dental Patient Medical History
AF Form 696 – Dental Patient Medical History