AF Form 2818-11: Oral & Maxillofacial Surgeon Privileges

AF Form 2818-11: Oral & Maxillofacial Surgeon Privileges – AF Form 2818-11: Clinical Privileges – Oral and Maxillofacial Surgeon is the official U.S. Air Force form used to request, verify, and grant clinical privileges to qualified Oral and Maxillofacial Surgeons (OMS) practicing in Air Force Medical Treatment Facilities (MTFs).

This specialized form is part of the Air Force’s rigorous credentials and privileging process, ensuring that providers meet high standards for patient safety and quality care in military dental and surgical settings.

What Is AF Form 2818-11?

AF Form 2818-11, titled Clinical Privileges – Oral and Maxillofacial Surgeon, is one of a series of AF Form 2818 variants designed for specific surgical and medical specialties. It allows Oral and Maxillofacial Surgeons to formally request privileges to perform a wide range of diagnostic, surgical, and consultative procedures involving the hard and soft tissues of the oral and maxillofacial region.

Key facts about the form:

  • Purpose: Defines the scope of practice for OMS providers based on their education, training, board certification, experience, and demonstrated competency.
  • Who uses it: Air Force active duty, reserve, and civilian Oral and Maxillofacial Surgeons applying for or renewing privileges at military treatment facilities.
  • Companion form: Oral and maxillofacial surgeons must also complete AF Form 244 (or equivalent dental privileges documentation).
  • Governing guidance: The privileging process follows AFI 44-119 (Medical Quality Operations) and related Department of Defense instructions on credentials and privileging.

You can download the current version of AF Form 2818-11 directly from the official Air Force e-Publishing site:
https://static.e-publishing.af.mil/production/1/af_sg/form/af2818-11/af2818-11.pdf

Why Clinical Privileges Matter in the U.S. Air Force?

In military medicine, clinical privileges are not automatic. They are granted only after a thorough review of the provider’s credentials, including:

  • Graduation from an accredited dental school and completion of an accredited OMS residency program.
  • Board certification or eligibility (typically by the American Board of Oral and Maxillofacial Surgery – ABOMS).
  • Current licensure.
  • Recent clinical experience and proctoring (when required).
  • Ongoing professional practice evaluation (OPPE) and focused professional practice evaluation (FPPE).

Privileges ensure that surgeons only perform procedures for which they have demonstrated current competence. This protects service members, families, and retirees receiving care in Air Force facilities.

What Privileges Does AF Form 2818-11 Cover?

The form uses a standardized coding system for applicants and clinical supervisors:

  • Code 1: Fully competent within defined scope of practice.
  • Code 2: Supervision required.
  • Code 4: Not requested / not approved (due to lack of expertise, proficiency, or facility support).

Core scope of privileges for Oral and Maxillofacial Surgery in the Air Force typically includes:

  • Evaluation, diagnosis, consultation, and treatment of illnesses, injuries, and disorders of the oral and maxillofacial region (functional and aesthetic aspects of hard and soft tissues).
  • Pre-operative, intra-operative, and post-operative care.
  • Surgical procedures on the teeth, jaws, face, and associated structures.
  • Ability to admit patients and provide care in inpatient and intensive care settings (per MTF policy).
  • Ordering and initial interpretation of radiographs and other imaging.
  • Management of trauma, pathology, reconstructive surgery, orthognathic surgery, dental implants, and dentoalveolar procedures.

A separate DOD Medical Privilege List (DODMPL) for Oral and Maxillofacial Surgery provides detailed privilege categories used in conjunction with AF Form 2818-11.

Oral and maxillofacial surgeons may also request additional special privileges (e.g., specific advanced reconstructive, cosmetic, or laser procedures) depending on facility capabilities and their individual training.

How to Complete AF Form 2818-11?

Step-by-step process (general guidance):

  1. Applicant Section (Part I): The surgeon marks the requested privileges using the appropriate code (1, 2, or 4) for each listed procedure or category. Sign and date the form.
  2. Clinical Supervisor Review (Part II): The supervisor verifies the requested privileges (using codes 1–4) based on credentials review, performance, and proctoring results. They then recommend approval, approval with modification, or disapproval.
  3. Submission: The completed form goes through the local Credentials Committee or Function for final approval. Privileges are time-limited and require periodic renewal.

Important notes:

  • Privilege lists should be completed no earlier than 45 days before training/education completion (when applicable).
  • Any changes to approved privileges must follow official credentialing policy.
  • Providers must maintain current relevant clinical experience; lack of recent activity may result in reduced or withheld privileges.

For detailed instructions, refer to the Air Force Clinical Privileges List – Instructions document available on the Air Force Medical Service site.

Who Needs AF Form 2818-11?

  • Newly graduated or transitioning Oral and Maxillofacial Surgeons entering Air Force service.
  • Current Air Force OMS providers seeking initial, renewal, or modified privileges.
  • Reserve component dentists who perform OMS-level procedures.
  • Providers transitioning from civilian practice to military facilities.
  • AFI 44-119: Medical Quality Operations (covers the full privileging process).
  • DODMPL Dental – Oral and Maxillofacial Surgery (detailed privilege lists).
  • AF Form 244 (General Dentistry Privileges – required alongside 2818-11 for OMS).
  • Air Force Medical Service credentials and privileging guidance.

Conclusion

AF Form 2818-11 is a critical document in the Air Force’s system for ensuring only highly qualified Oral and Maxillofacial Surgeons deliver specialized surgical care. Proper completion and verification of this form directly support mission readiness and high-quality care for America’s airmen, guardians, and their families.

Download the official form here:
AF Form 2818-11 PDF

If you are an Air Force dental or medical provider needing assistance with credentials, contact your local MTF Credentials Office or the Air Force Medical Service’s credentialing team for facility-specific guidance.

This article is for informational purposes only and is based on publicly available U.S. Air Force and Department of Defense sources. Always verify the latest forms and policies through official Air Force e-Publishing and Air Force Medicine channels, as requirements can be updated.