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THIRD PARTY COLLECTION PROGRAM/MEDICAL SERVICES ACCOUNT/ OTHER HEALTH INSURANCE OMB No. 0704-0323 OMB approval expires Mar 31, 2013 (Read Privacy Act Statement before completing this form.) The public
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The DD Form 2569, also known as the Service Treatment Record Continuation Sheet, is a form used to provide additional medical information for military personnel.
Active duty military personnel and their dependents may be required to file the DD Form 2569 if they have any medical treatment to report.
To fill out the DD Form 2569, you will need to provide personal information, such as your name, rank, and social security number, as well as details of the medical treatment you received.
The purpose of the DD Form 2569 is to document and track medical treatment received by military personnel and their dependents.
The DD Form 2569 requires you to report details of the medical treatment you received, including the date of treatment, the healthcare provider's information, and a description of the treatment.
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