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How to fill out a DD 2870 online?

Follow these steps to complete your DD 2870 form online.

Step 01

Access the form online and open it in the PDF editor.

Step 02

Fill in the patient's name and date of birth in the designated fields.

Step 03

Enter the sponsor's Social Security Number.

Step 04

Specify the treatment dates or select 'ALL TIME PERIODS'.

Step 05

Indicate whether you need outpatient or inpatient records.

Step 06

Provide the reason for the request and the recipient's details.

Department of Defense

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.

What information do I need to provide in Section I?

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

Who can receive my medical information?

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

Can I revoke my authorization?

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

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