| Pub/Form Number | DA FORM 3705 |
| Pub/Form Date | 01/01/1980 |
| Pub/Form Title | RECEIPT FOR OUTPATIENT TREATMENT/DENTAL RECORDS |
| Unit Of Issue(s) | PDF (This form may require download to view. For more details visit FAQs.) |
| Pub/Form Proponent | TSG |
| Pub/Form Status | ACTIVE |
| Prescribed Forms/Prescribing Directive | AR 40-66 |
| Footnotes | 14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21) 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA |
| Authority (Superseded By/Rescinded By) | |
| Superseded/Replaced Other Pub/Form | |
| Security Classification | UNCLASSIFIED |
| Dist Restriction Code | A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED |
| Pub/Form IDN |
990001 |
| Pub/Form PIN | 007484 |
| Changes |
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