DD Form 2766C — Adult Preventive and Chronic Care Flowsheet (Continuation)

Patient: SMITH, Dana R.Source
DEERS · verified at sign-in · 02 Jul 2026 DoD ID: 1234500000 Continuation of: DD 2766 Records maintained at: NMC Portsmouth

Assembled from the reconciled record via the Paratus Data Service — field-level sources shown on ⓘ. Read-only view; updates flow from signed encounters, not manual edits.

✅ Continuation sheet — 6 overflow entries carried from DD 2766, all verified against source systems. Nothing on this sheet needs attention.

DD 2766C · Continuation sheet

Flowsheet continuation

Continuation of the DD 2766 flowsheet for tests and immunizations whose dated history exceeds the base form. Rows in blue dashed carried over from the DD 2766 record.

Test / frequency / dates

Test	Frequency	(a)	(b)	(c)	(d)	(e)	(f)

Remarks

Patient identification & records maintained at

Controlled by: DHA CUI Category: PRVCY, HLTH LDC: FEDCON
POC: dha.ncr.bus-ops.mbx.dha-formsmanagement@mail.mil (Updated 20250320)
DD FORM 2766C, MAR 1998 · Page 1 of 1

Notional sample data. Saving appends the continuation to the DD 2766 record.