IN THE CASE OF:
BOARD DATE: 9 February 2012
DOCKET NUMBER: AR20110015050
THE BOARD CONSIDERED THE FOLLOWING EVIDENCE:
1. Application for correction of military records (with supporting documents provided, if any).
2. Military Personnel Records and advisory opinions (if any).
THE APPLICANT'S REQUEST, STATEMENT, AND EVIDENCE:
1. The applicant requests correction of his DD Form 214 (Certificate of Release or Discharge from Active Duty) to show he was not provided a complete dental exam and all appropriate dental services and treatment within 90 days prior to his separation.
2. The applicant states his DD Form 214 shows his dental work was completed within 90 days prior to his discharge. However, this is in error and dental records attached support the fact that the Department of Veterans Affairs (VA) would have to complete his dental work of replacing his temporary crowns with permanent crowns and finishing his dental implants.
3. He provides his DD Form 214 and a copy of Side 2 of a Standard Form (SF) 603A (Health Record-Dental) with a date entry of 21 June 2011.
CONSIDERATION OF EVIDENCE:
1. The applicant enlisted in the Army on 17 September 2008 and completed training as a petroleum supply specialist.
2. The applicants complete dental records are not available to the Board.
3. He provided a copy of side 2 of an SF 603A. This form provides the details of dental procedures he had on an unknown date in 2011. The form further shows on 21 June 2011 he had additional dental work. The entry for this date included the remark "#3-remade temp and cemented with fugi cem." The form further showed the applicant informed the dentist he was leaving the island that week. The dentist indicated the applicant understood he must seek care at the VA or other provider since he was in temporaries. The following entry appears on the form: planned tx (treatment): #3 - FGC; #4 - MCC; 12 - MCC; 14 - FGC; and
19 - implant crown. The form contains the dentist's signature below this entry.
4. The applicant was given a general discharge on 24 June 2011. Item 17 (Member was provided complete dental examination and all appropriate dental services and treatment within 90 days prior to separation) of his DD Form 214 reflects that all appropriate dental services and treatment were completed prior to his separation.
5. Army Regulation 635-5 (Separation Documents) establishes the policies and provisions for the completion and distribution of the DD Form 214. It notes that item 17 is applicable to Soldiers who have completed 180 days or more of continuous active service at the time of separation. If the Soldier had been provided a complete dental examination, and all appropriate dental services and treatment had been completed within 90 days prior to separation, the item is marked "yes." The information is obtained by reviewing a Soldiers SF 603 for validity of exam and all appropriate treatment. The information in item 17 is intended to assist the VA in determining whether a veteran is entitled to continued dental services/care by that agency for dental defects that had not been completely corrected prior to the individuals separation from active duty.
DISCUSSION AND CONCLUSIONS:
1. His SF 603A shows the planned treatment was not completed prior to his separation. The dentist annotated on the SF 603A that the applicant must seek care at the VA or other provider since he had temporaries.
2. As such, his DD Form 214 for the period ending 24 June 2011 should be corrected to show he was not provided a complete dental exam and all appropriate dental services and treatment within 90 days prior to separation.
BOARD VOTE:
___X____ ___X ___ ____X___ GRANT FULL RELIEF
________ ________ ________ GRANT PARTIAL RELIEF
________ ________ ________ GRANT FORMAL HEARING
________ ________ ________ DENY APPLICATION
BOARD DETERMINATION/RECOMMENDATION:
The Board determined the evidence presented was sufficient to warrant a recommendation for relief. As a result, the Board recommends all Department of the Army records of the individual concerned be corrected by correcting the entry in item 17 of his DD Form 214 to indicate "NO."
__________X____________
CHAIRPERSON
I certify that herein is recorded the true and complete record of the proceedings of the Army Board for Correction of Military Records in this case.
ABCMR Record of Proceedings (cont) AR20110015050
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ARMY BOARD FOR CORRECTION OF MILITARY RECORDS
RECORD OF PROCEEDINGS
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ABCMR Record of Proceedings (cont) AR20110015050
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ARMY BOARD FOR CORRECTION OF MILITARY RECORDS
RECORD OF PROCEEDINGS
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