Form Information
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FORM NUMBER: DD7A

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TITLE: TREATMENT FURNISHED PAY PATIENTS, REPORT OF - OUTPATIENT (PART B)

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EDITION DATE: 19760801 CANCELLATION DATE:

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AVAILABLE FILE FORMATS: PLEASE
Fillable Adobe: PDF-Ext If no hyperlink appears next to a format, the form is not available
Perform Pro: electronically. To obtain hard copies of current forms not available in
Form Flow 2.0: electronic format, please contact your own Military Service or DoD
Form Flow 99: Component Forms Management Officer. Cancelled forms are not
Other: available in electronic formats. Click on link for a list of Forms

Forms Management POCs

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REMARKS:
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ISSUANCES: AR 40-332 MEDCOMINST 6320.2B

AFI 41-120
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SPONSOR / POC: A SUB-SPONSOR:
NUMBER OF PAGES: 1
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USERS*: A N AF
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PRESCRIBED OR ADOPTED?: A

DISPOSITION:

FUNCTION CODE: 6040

FORM CONTROLLED:

MANDATORY PRINT SPECIFICATIONS:

RCS: 1990

IRCN:

OMB:

PRIVACY ACT N
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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.