Figure 2-24. - Report of Medical Examination, SF 88, (front) Box 18.

box 18. Use these symbols to chart the lower portion of this box. Box 18 also contains space for the dentist's "Remarks and Additional Dental Defects and Diseases." In this space, type, print, or stamp the type of dental exam, dental classification, and qualified "YES" or "NO."

Box 43

Include here a summary of the patient's dental defects and the dentist's diagnosis. Since the summary refers to the items noted in box 18 (the dental section of the report), mark in the summary #18 and list defects and diagnosis.

Box 50

Type, print or stamp the examining dentist's name, rank, DC, and USN (or USNR) or civilian title (DDS/DMD) if a contract dentist performs the examination. A dentist or physician signs his or her signature in box 50.