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FORM NUMBER: DD749

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TITLE: CLINICAL RECORD, HEAD INJURY

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EDITION DATE: 19540401 CANCELLATION DATE: 19810929

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AVAILABLE FILE FORMATS: PLEASE NOTE:
Fillable Adobe: If no hyperlink appears next to a format, the form is not available electronically. To
Perform Pro: obtain hard copies of current forms not available in electronic format, please contact
Form Flow 2.0: your own Military Service or DoD Component Forms Management Officer.
Form Flow 99: Cancelled forms are not available in electronic formats. Click on link for a list of
Other: Forms Management POCs.

Forms Management POCs

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REMARKS: Forms Review revealed that subject form is no longer used by the military departments (per memo dated 29

Sep 1981, from Alcinda P. Wenberg, Head, Records Management Branch, Department of the Navy).
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ISSUANCES: DODI 6040.35
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SPONSOR / POC: HA SUB-SPONSOR:
NUMBER OF PAGES:
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USERS*: A N AF
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PRESCRIBED OR ADOPTED?: A

DISPOSITION:

FUNCTION CODE:

FORM CONTROLLED:

MANDATORY PRINT SPECIFICATIONS:

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS:
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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.