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Letter Of Instruction Family Care Plan - Printable Blank Pdf Online: What You Should Know

Military bases. The Family Care Plan requires a signed document authorizing your family to receive medical care on Military Base. In  accordance to Army Regulation 670-1 Family Care Plans must include these 6 elements: (i) a copy of the completed family care plan (which may be a paper copy or electronic version); (ii) a signed letter from each member of the family authorizing them to access their base (signed by the husband, wife or each spouse); (iii) any statement provided in section 3 of this Family  Plan indicating any changes to that individual's family care plan (e.g., spouse is now receiving medical care); (iv) a signed letter from each spouse (husband and wife) authorizing access to their base; (v) a signed letter from each child or other authorized adult (children and parents) that specifically allows access to their  active duty base; and (vi) an approved form providing an Authorization to Treat and for Invocation of Religious Beliefs. For more information on the Family Care Plan please see our Family Care Planning Basics page. Family Care Plans must include information for everyone, including (as a basic priority): Access to Military Departments; Access to Medical Care at Military Bases; Access to Family Members, including (if applicable)-spouse, parents, uncles, aunts, nephews, nieces, cousins; A copy of the signed Letter of Authorization from all members; For all members, a copy of the Form 5304. A copy of the Family Care Plan signed by both spouses and a signed and dated letter from each spouse authorizing access to their specific base (signed by the husband, wife or each spouse). A copy of the form provided in the Family Care Plans section on our Family Planning Basics page by clicking on the link Family Care Plans. Family Care Plan Forms are available by clicking below.

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