Get Instructions For Completing Dd Form 2870 To Request Copies Of Records

Filling out the DD Form 2870 is essential for individuals seeking copies of their medical records. This guide provides comprehensive instructions to help you navigate the digital process with ease.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the form and open it in your web browser.
2. In Block 1, enter the patient’s full name as it appears on official documents.
3. In Block 2, provide the patient’s date of birth in the required format.
4. For Block 3, input the sponsor’s social security number or DoD ID number, which can be found on the back of their CAC card. If the recipient is over 18 years of age, use their individual DoD ID.
5. In Block 4, specify the dates of treatment for which you are requesting copies or indicate 'all time periods' if applicable.
6. For Block 5, if you are seeking regular outpatient information only, check the box for 'Outpatient.'
7. In Block 6, indicate the Naval Medical Center San Diego and in Block 6a enter the name of the individual authorized to access the medical record, either the patient or someone designated by them.
8. In Block 6b, clearly write the email address and mailing address of the patient.
9. Complete Block 6c with the phone number of the individual listed in Block 6a.
10. Mark Block 7 as appropriate based on the request.
11. If requesting an entire outpatient medical record in Block 8, state 'Copy entire medical record.' For sensitive documents, specify the type such as 'include all sensitive documents.'
12. In Block 9, write the authorization start date, which is the date you are completing the form.
13. For Block 10, set the authorization expiration, which should be the same date as Block 9 plus one year.
14. In Block 11, the patient must sign to authorize the request.
15. For Block 12, indicate 'self' if you are the patient or your relationship to the patient otherwise.
16. In Block 13, fill in the date you are submitting the form.
17. Complete Block 17 with the sponsor's name, rank, social security number or DoD ID, branch of service, and phone number.
18. Once the form is completed, submit it at the Outpatient Records Counter or send it via fax or mail to the specified address.
19. After submission, you may receive your medical records via email from Safe Access File Exchange, and ensure to check your inbox and junk folders for the delivery notice.
20. Remember, you can save changes, download, print, or share the completed form as needed.

Complete your documents online today for a hassle-free experience.