Get the free Military Medical Records Request Form

REQUEST A COPY OF SOMEONE Else's HEALTH RECORDS Please mail or fax your completed form to the applicable Health Records location PLEASE USE FORM REQ1 IF YOU ARE REQUESTING YOUR OWN HEALTH RECORDSPart

How to fill out military medical records request

How to fill out military medical records request

1. To fill out a military medical records request, follow these steps:
2. Obtain the DD Form 877 (Request for Medical/Dental Records). This form can be found on the Department of Defense's website.
3. Fill out Section I of the form, providing your personal information such as your full name, social security number, date of birth, and contact information.
4. If you are requesting the medical records of someone other than yourself, fill out Section II of the form with their personal information.
5. Specify the type of medical records you are requesting in Section III, such as inpatient records, outpatient records, dental records, etc.
6. Indicate the time period for which you need the records in Section IV. You can request specific dates or a range of dates.
7. If you need the records for a specific purpose, provide details in Section V.
8. Sign and date the form in Section VII.
9. Make a copy of the completed form for your records.
10. Submit the original form to the appropriate address or fax number provided by the military medical records office.
11. Wait for the processing of your request. The time it takes to receive the records may vary depending on the volume of requests and the availability of the records.
12. Once you receive the medical records, review them carefully and ensure they are complete and accurate.

Who needs military medical records request?

1. Anyone who needs access to their or someone else's military medical records may require a military medical records request.
2. Some common examples of individuals who may need military medical records include:
3. - Veterans who are seeking compensation or benefits for service-connected disabilities.
4. - Active duty service members who need their medical records for administrative purposes or to support a medical evaluation board process.
5. - Family members of deceased veterans or service members who need the records for legal, genealogical, or historical purposes.
6. - Researchers or healthcare professionals who are studying military health trends or conducting medical research.
7. It is important to note that each request is handled on a case-by-case basis, and the specific requirements and procedures may vary depending on the branch of service and the purpose of the request.

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What is military medical records request?

A military medical records request is a formal request to obtain medical records of a military member for various purposes such as disability claims, insurance claims, or medical treatment.

Who is required to file military medical records request?

Anyone who needs access to or information from a military member's medical records must file a military medical records request.

How to fill out military medical records request?

To fill out a military medical records request, you typically need to provide the military member's personal information, the purpose for the request, and any specific medical information needed.

What is the purpose of military medical records request?

The purpose of a military medical records request is to access important medical information for various official or personal reasons.

What information must be reported on military medical records request?

The information required on a military medical records request may include the military member's name, rank, service branch, dates of service, specific medical conditions, and the purpose for the request.