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  • Dd Form 877

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DD FORM 877 SEP 67 REPLACES EDITION OF 1 JAN. 60. WHICH MAY BE USED. Reset USAPPC V1. 00 Adobe Professional 7. REQUEST FOR MEDICAL/DENTAL RECORDS OR INFORMATION REQUESTING ACTIVITY -Complete Items 1 through 10 Except 8b also ADDRESSEE DATE complete Item 19. - Complete Items 8b 11 to 14 or 15 to 18 as appropriate final referrer shall return to requester. 1. PATIENT Last Name - First Name - Middle Name 3. STATUS MILITARY VA BENEFICIARY FEDERAL EMPLOYEE DEPENDENT 2. ORGANIZATION AND PLACE OF TREATMENT OTHER Specify 3a* NAME OF SPONSOR If dependent 4. TO Include ZIP Code IDENTIFYING INFORMATION a* SERVICE NUMBER b. GRADE/RATE c* SOCIAL SECURITY ACCOUNT NO. d. VA CLAIM NUMBER e. DATE OF BIRTH If Federal employee 6. DATES OF TREATMENT Inclusive a* RECORDS REQUESTED MIL VA 7. DISEASE OR INJURY b. RECORDS FORWARDED MIL VA 9. REMARKS CLINICAL OUTPATIENT HEALTH RECORD DENTAL RECORD X-RAY MEDICAL REPORT CARDS EMERGENCY MEDICAL TAGS FIELD MEDICAL CARDS ABSTRACT OF RATING SHEET REPORT OF PHYSICAL E....

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You can request your military records in any of these ways: Mail or fax a Request Pertaining to Military Records (Standard Form SF 180) to the National Personnel Records Center (NPRC). ... Write a letter to the NPRC. ... Visit the NPRC in person. Contact your state or county Veterans agency. Hire an independent researcher.

In general, an individual's military records are maintained by each branch of the military for around 5-10 years after the service member separates, after which records are sent to the National Archives where they are permanently maintained. You can request copies of records directly from the National Archives.

DD Form 877-1 is the only request form which NPRC will accept from military facilities for retired medical treatment records.

Resources and support. Call us. 800-698-2411. Visit a medical center or regional office. Find a VA location.

Contrary to what some people think, enlisting is not simply a matter of signing papers at an eager recruiter's office. Your physical and mental health will be carefully evaluated. The Army may check medical records if there are red flags about the recruit's fitness for duty.

DD Form 877, "REQUEST FOR MEDICAL/DENTAL RECORDS OR INFORMATION"

Because the military does not routinely pull medical records, recruits who pass their physical and reveal no prior history may get in. However, if the soldier later gets sick or injured, the Army can check medical records if an undisclosed pre-existing condition is suspected.

Allow about 10 days for us to receive and process your request, then you may check the status of your request. These forms are ONLY for status updates for EXISTING requests from the National Personnel Records Center (NPRC).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232