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59 MDW Form 175 Authorization / Treatment Statement
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What Is 59 MDW Form 175?
This is a legal form that was released by the U.S. Air Force - 59th Medical Wing on January 24, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the 59 MDW Form 175?
A: The 59 MDW Form 175 is an Authorization/Treatment Statement.
Q: What is the purpose of the form?
A: The purpose of the form is to authorize and document medical treatment.
Q: Who can use the form?
A: The form can be used by military personnel and their dependents.
Form Details:
- Released on January 24, 2017;
- The latest available edition released by the U.S. Air Force - 59th Medical Wing;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of 59 MDW Form 175 by clicking the link below or browse more documents and templates provided by the U.S. Air Force - 59th Medical Wing.
