WebThe AF 1466, Request for Family Member’s Medical & Educational Clearance for Travel Notes for completion: Signatures required on page 1, page 2 (section II), and Initials on page 3 (Section V) w/ signature at bottom - Ensure the form is fully completed by the ADSM. If unsure, leave blank and can be completed at EFMP appointment.

Family Member Prefix (FMP) Flashcards Quizlet

WebSponsor Name. Name of the military member responsible for the family member identified in Item 2.a. Item 2.c. - e. Self-explanatory. Item 2.f. Family Member Prefix (FMP). Only applies to Military medical beneficiary. The FMP is assigned when the family member is enrolled in the Defense Enrollment Eligibility Reporting System (DEERS). Item 2.g. WebService for services provided me and/or my family member. f. ALL PATIENTS: I authorize portions of my medical records necessary to support claims for reimbursememt for the cost of care rendered to be released to my insurance carriers. 13a. PATIENT OR ADULT FAMILY MEMBER SIGNATURE b. DATE (YYYY/MM/DD) c. NAME e. DATE OF BIRTH … shane wallace grimsby

Navy Family Member Prefix Codes (FMP) Flashcards

WebFamily Member Prefix Codes. 11 terms. wheat_based. Navy Family Member Prefix Codes (FMP) 18 terms. DeeVah. Sets found in the same folder. Detal Classifications. 4 … WebMilitary dependents are the spouse(s), children, and possibly other familial relationship categories of a sponsoring military member for purposes of pay as well as special … Web4.a. exceptional family member name (last, first, middle initial) b. relationship to sponsor c. date of birth (yyyymmdd) 5. does family member reside with sponsor (x one) yes no if … shane wallace facebook