Get Da 5018 R

Filling out the Da 5018 R form, known as the ADAPCP client's consent statement for release of treatment information, is an important step in managing personal treatment information. This guide provides clear, step-by-step instructions to help users complete the form online accurately and efficiently.

Follow the steps to successfully complete your Da 5018 R form online.

1. Click the ‘Get Form’ button to access the Da 5018 R form and open it in your preferred editor.
2. In Section A, provide your full name where indicated and date the form appropriately. This section is crucial as it details the client’s consent for information release.
3. Next, specify the installation's name that is related to your ADAPCP. Clearly state the purpose of the information release in the provided space. Ensure that you are specific about the extent or nature of the information that is to be disclosed.
4. Move to Section B. Here, check the appropriate paragraph to specify the expiration or revocation terms. Make sure you understand the implications of your consent expiration regarding your treatment participation and revocation rights.
5. Sign the document in the designated space under the client's signature. Additionally, type or print the name of the witness along with their signature and date.
6. In Section C, the approval authority for the release of information must be completed. Type or print the name of the MEDCEN/MEDDAC commander or designated representative, alongside their signature and date.
7. Once you have filled out all sections accurately, save your changes. You can then download, print, or share the completed Da 5018 R form as needed.

Complete your documents online today to streamline your process.