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Patient Resources

Forms

Active Duty Dental Claim Form (531KB .PDF)
United Concordia's network dentists will file a claim on your behalf. If you are approved to utilize a non-network dentist, you may be required to submit your own claim form. United Concordia's network dentists will file a claim on your behalf.

Download Form
Child Central Auditory Processing Questionnaire
WAMC Form 5004 - Child Central Auditory Processing Questionnaire

Download Form

Don't forget to keep your family's information up to date in DEERS!