AF IMT Form 1466D Dental Health Summary

AF Form 1466D Instructions

Completing the AF Form 1466D starts with identifying a person or entity to fill it out. If the patient is enrolled in the TRICARE Dental Plan, a civilian dentist completes the form. If the patient is not enrolled in the TRICARE Dental Plan, a military dental treatment facility completes the form. The family member needs a doctor's assessment of their dental health for a pending duty assignment. The doctor lists dental examination results stating if:

1. The patient has good oral health and is not expected to require dental treatment or re-evaluation for 12 months.
2. The patient has some dental issues, but the doctor does not expect these conditions to result in dental emergencies in the next 12 months.
3. The patient has oral conditions that the doctor expects to result in dental emergencies within 12 months if not treated. Such conditions include infections (acute oral infections, pulpal or periapical pathology, chronic oral infections, or other pathologic lesions and lesions requiring biopsy), caries/restorations (dental caries or fractures with moderate or advanced extension into dentin, baby bottle tooth decay/early childhood caries, defective restorations that patients cannot maintain for 12 months), missing teeth (edentulous areas requiring immediate prosthodontic treatment), periodontal conditions (acute gingivitis or pericoronitis, active moderate to advanced periodontitis, periodontal abscess, progressive mucogingival conditions, moderate to heavy subgingival calculus, or periodontal manifestations of systemic disease or hormonal disturbances), oral surgery (unerupted, partially erupted, or malposed teeth), disorders or myofascial pain dysfunction requiring active treatment.
4. The patient is undergoing active orthodontic treatment.

Air Force Overseas Clearance Forms

• AF Form 1466, Request for Family Member's Medical and Education Clearance for Travel is a related document used by the Military Department's personnel to establish and evaluate the educational and medical needs of family members;
• DD Form 2792, Family Member Medical Summary is a form required by the military assignment personnel and civilian personnel officers to correlate the medical needs of family members with the accessibility of the required medical services;
• DD Form 2792-1, Special Education/Early Intervention Summary is a form used by DoD employees to detect, assess, and document the special education needs of family members.