NAME OF MEDCEN/MEDDAC COMMANDER OR DESIGNATED REPRESENTATIVE Type or print DA FORM 5018-R NOV 1981 APD PE v3.
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How to fill out the DA 5018 R online
The DA 5018 R form is essential for consenting to the release of treatment information in Army records concerning alcohol or drug abuse. This guide provides clear instructions on how to complete this form online efficiently.
Follow the steps to fill out the DA 5018 R form online.
- Press the ‘Get Form’ button to access the DA 5018 R form and open it for editing.
- In Section A, input your full name and the date of consent. Specify the name of the installation ADAPCP and the extent or nature of the information to be disclosed.
- Review Section B carefully to select the expiration or revocation option that applies to you. Ensure that you understand the implications of each choice you make.
- Sign and date the consent in the provided area to validate your agreement. Make sure your signature is clear and legible.
- In Section C, if applicable, obtain approval from the designated authority for the release of information. Ensure that the name of the commander or designated representative is typed or printed correctly along with their signature and date.
- After filling out the entire form, review it for accuracy and completeness. Once satisfied, you can save your changes, download the document, print it, or share it as necessary.
Complete your DA 5018 R form online today for a streamlined process.
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What is DA Form 5018 R?
DA FORM 5018-R. Pub/Form Date. 11/01/1981. Pub/Form Title. ADAPCP CLIENT`S CONSENT STATEMENT FOR RELEASE OF TREATMENT INFORMATION (LRA)
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