Military Form DD 2870

2025 Printable Template

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Form last updated: 03/2024. Please verify this is the current version before use.

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What is a DD 2870 used for?

Form DD 2870 is used by military personnel and their families to authorize the release of their medical or dental information. This form ensures that sensitive health details are shared only with authorized individuals, maintaining privacy in military healthcare settings.

Who needs to fill out a DD 2870 form

TRICARE beneficiaries, including active duty members, retirees, their dependents, and legal representatives of minors, who need to authorize the release of their medical or dental information.

How to fill out a DD 2870 online?

Follow these steps to complete your DD 2870 form online.

Step 1
Step 1
Access the form online and open it in the PDF editor.
Step 2
Step 2
Fill in the patient's name and date of birth in the designated fields.
Step 3
Step 3
Enter the sponsor's Social Security Number.
Step 4
Step 4
Specify the treatment dates or select 'ALL TIME PERIODS'.
Step 5
Step 5
Indicate whether you need outpatient or inpatient records.
Step 6
Step 6
Provide the reason for the request and the recipient's details.
Step 7
Step 7
Sign and date the form.
Department of Defense

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Frequently Asked Questions

Find quick answers to common questions about our PDF editor.

You must provide your full name, date of birth, Social Security Number, and treatment period.

You can authorize a physician, facility, or TRICARE health plan to access your medical information.

Yes, you can revoke your authorization at any time with a written notice.

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