Get Da Form 5018 R

The Da Form 5018 R is an essential document used for consenting to the release of treatment information related to alcohol and drug abuse. This guide aims to provide a clear and supportive walkthrough for users filling out the form online.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to access the Da Form 5018 R and open it in your online editor.
2. Begin with Section A - Consent. Enter your full name and the date of consent. Specify the installation ADAPCP and detail the nature of the information that is to be disclosed.
3. In Section B - Expiration/Revoke, select the appropriate checkbox based on whether your consent expires automatically after the disclosure action or if it remains valid for a specific duration.
4. If applicable, inform about the conditions surrounding the revocation of consent related to civilian criminal justice officials. Specify any relevant status changes.
5. Provide your signature along with the name and date of the witness to validate the consent.
6. In Section C - Approval Authority, if applicable, type or print the name of the MEDCEN/MEDDAC Commander or designated representative, along with their signature and date.
7. Review all sections filled out for accuracy and completeness before proceeding to save changes, download, print, or share the completed form.

Complete your documents online today for a streamlined experience!