All branches Duty & Accountability DD Form 2870 Ed. (current edition)

DD 2870 — Authorization for Disclosure of Medical Information

Draft an authorization to release medical/dental records — who, what, and why — before signing at the MTF.

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What this worksheet covers

Open it in the toolkit and these fields prefill from your service profile — rank, name, and unit are filled in on the spot.

Administrative data

  • Name (Last, First, MI)
  • DoD ID

Authorization

  • Disclose to (name / organization)
  • Information to be disclosed
  • Purpose of disclosure
  • Expiration date / event
Draft / worksheet aid. Prepare it here, then transcribe into your official system of record. This is not an official submission — verify against the current official DD Form 2870 before use.

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