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AUTHORIZATION FOR DISCLOSURE OF MEDICAL OR DENTAL INFORMATION
PRIVACY ACT STATEMENT
In accordance with the Privacy Act of 1974 (Public Law 93579), the notice informs you of the purpose of the form
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How to Fill Out DD 2870:
01
Begin by carefully reading the instructions on the form to ensure that you have all the necessary information and documents.
02
Start by filling out the basic details such as your name, social security number, and contact information.
03
Provide relevant information about your healthcare provider, including their name, address, and contact details.
04
Indicate the purpose of the form and the type of medical treatment or service you are seeking.
05
Specify the dates of treatment or expected service, as well as the duration.
06
If applicable, include any supplementary documents or attachments required by your healthcare provider or military unit.
07
Double-check all the information you have provided, ensuring that it is accurate and complete.
08
Sign and date the form to validate your submission.
Who Needs DD 2870?
01
Active duty military personnel who require medical treatment or services from civilian healthcare providers.
02
National Guard and Reserve members seeking medical care outside of their military duty location.
03
Family members of military personnel who need non-emergency medical treatment from civilian providers.
04
Retired military personnel and their families who access healthcare services that are not available at military medical facilities.
05
Department of Defense civilians who require medical treatment from civilian providers for work-related injuries or illnesses.
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What is dd 2870?
DD Form 2870 is a form used by military personnel to report their mileage reimbursement.
Who is required to file dd 2870?
Military personnel who have incurred mileage expenses are required to file DD Form 2870.
How to fill out dd 2870?
DD Form 2870 can be filled out by providing details of the total mileage traveled, purpose of travel, and any other required information as specified on the form.
What is the purpose of dd 2870?
The purpose of DD Form 2870 is to request reimbursement for mileage expenses incurred during official military travel.
What information must be reported on dd 2870?
Information such as total mileage traveled, purpose of travel, date and time of travel, and any other relevant details must be reported on DD Form 2870.
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