
ADAPCP CLIENT'S CONSENT STATEMENT FOR RELEASE OF TREATMENT INFORMATION For use of this form, see AR 600-85; the proponent agency is DCS, G-1. SECTION A - CONSENT I, , this 20 day of , (client's full.
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How to fill out the Da 5018 R online
The Da 5018 R form is vital for consenting to the release of treatment information related to alcohol or other drug abuse education, training, and rehabilitation within the Army system. This guide provides step-by-step instructions to assist users in accurately completing the form online.
Follow the steps to complete the Da 5018 R online form.
- Press the ‘Get Form’ button to access the Da 5018 R form. This will allow you to open the form in the online editor.
- In Section A – Consent, enter your full name and the name of the installation ADAPCP. Specify the purpose of disclosure and the extent or nature of the information to be revealed.
- In Section B – Expiration/Revocation, select the applicable paragraph regarding the consent expiration. Be aware that the consent automatically expires 60 days from the date of signing unless stated otherwise.
- Section C requires the approval authority for the release of information. State your judgment regarding the release of the evaluation of your status in the alcohol or drug treatment program.
- Fill in the date and provide the signatures needed in the designated spaces for the client, witness, and MEDCEN/MEDDAC commander's designated representative.
- After completing all sections, make sure to save your changes. You can then download, print, or share the form as needed.
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