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How to fill out the Dd 877 Navy online
Filling out the Dd 877 Navy form is essential for requesting medical and dental records from the National Personnel Records Center. This guide provides clear, step-by-step instructions to assist users in accurately completing the form online.
Follow the steps to fill out the Dd 877 Navy form successfully.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Complete Item 1 by entering the request date in the format YYYYMMDD, ensuring accuracy for processing.
- Fill in Item 2 with the patient’s name at the time of treatment, including last name, first name, and middle name.
- In Item 3, indicate the year of treatment for the records you are requesting.
- Provide the name of the facility where the patient was treated in Item 4, ensuring to specify one year per request for inpatient records.
- Select the status at the time of treatment by checking Item 6, choosing from military, retired military, dependent, federal employee, or other as applicable.
- In Item 5, describe the disease or injury that relates to the records being requested.
- Complete Item 7 by providing any identifiers, including social security number, service number, and branch of service as necessary.
- Indicate the type of treatment in Item 8 by selecting the appropriate option for inpatient, outpatient, dental, or psychiatric consultation.
- If applicable, fill out Item 9 with records locator information to expedite the request.
- In Item 10, provide any remarks or additional information that might help clarify the request.
- Complete Items 11 and 12, ensuring the signature of the requester is included along with the response options for the NPRC.
- Finally, review all entries for accuracy and completeness before saving changes, downloading, printing, or sharing the form.
Complete your Dd 877 Navy form online today for a smooth and efficient request process.
To request military medical records, you would typically use the dd 877 Navy form. This form allows service members and veterans to grant permission for their medical records to be accessed. When you complete the dd 877, you facilitate a more efficient way to obtain important health information. Overall, this form plays a crucial role in ensuring that you have timely access to your military medical history.
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