DA

DA Form 3984. Dental Treatment Plan

DA Form 3984. Dental Treatment Plan

DA Form 3984, Dental Treatment Plan, is a document used by the Department of the to outline and authorize dental treatment for military personnel. The form captures important information about the patient's dental condition, proposed treatment, and any associated costs.

The form consists of sections where the dentist provides information about the patient's dental condition, diagnosis, proposed treatment, and estimated costs. It may also include sections for the patient's consent and acknowledgment of the treatment plan.