DD Form 2322 – Dental Laboratory Work Authorization

DDFORMS.ORG – DD Form 2322 – Dental Laboratory Work Authorization – DD Form 2322 is a form used by the U.S. Department of Defense to authorize and document work done by Dental Laboratories. It is essential for dentists and dental laboratories to properly complete this form in order to obtain authorization for services or equipment related to dental laboratory work. This article will provide an overview of the DD Form 2322 and explain its purpose, how it is used, and its importance within the U.S. Department of Defense healthcare system.

Download DD Form 2322 – Dental Laboratory Work Authorization

Form Number DD Form 2322
Form Title Dental Laboratory Work Authorization
Edition Date 4/1/2009
File Size 107 KB

What is a DD Form 2322?

Good oral health is essential for overall health and well-being. To ensure that you receive the best possible dental care, it is important to know about the process of ordering dental laboratory work. DD Form 2322 is an authorization form that allows for the ordering of dental laboratory work such as crowns, bridges, dentures, implants, and more. This form also allows for the tracking and identification of each piece of work ordered.

Where Can I Find a DD Form 2322?

The DD Form 2322 is an authorization form for dental laboratory work that must be completed by the dental care provider prior to ordering any restorative or prosthetic work from an off-site laboratory. The form can be obtained from the US Government Publishing Office website, where it can be downloaded as a PDF file. It can also be requested from the Defense Logistics Agency (DLA) through their customer service contact information. Alternatively, it can sometimes be found in some military medical facilities, including those associated with active-duty military personnel and retirees.

Once completed and signed by both parties, the DD Form 2322 should accompany all orders placed with laboratories outside of the military facility where a patient was seen. This document serves two purposes: it authorizes payment to a lab upon completion of the order and provides proof that all necessary paperwork has been approved by both parties involved in providing care to a patient. The form will include details such as the type of appliance or restoration ordered, materials used, the fee charged for services rendered, and the estimated delivery date of the product once finished.

DD Form 2322 – Dental Laboratory Work Authorization

DD Form 2322 is used by the Department of Defense to authorize the submission of dental laboratory work. The form must be completed with specific information related to a patient’s medical and dental needs, along with any other relevant details. It is then approved by a licensed dentist or an authorized representative of the military before it can be forwarded to an approved laboratory. DD Form 2322 outlines all of the necessary requirements that must be met in order for the lab to begin working on a case including the patient’s name, age, diagnosis code, tooth number, and type of appliance requested. Additionally, it includes detailed instructions for completing case forms, shipping address information as well as payment procedures. Lastly, it also contains important legal text outlining how confidential information should be handled in order for laboratories to remain compliant with HIPAA regulations. By following these guidelines carefully and ensuring that all required fields are completed accurately; this form serves as an effective tool in streamlining communication between patients and laboratories providing high-quality care in a timely manner.

DD Form 2322 Example

DD Form 2322

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