# DD Form 2870

URL: https://pdf.net/pdf-forms/healthcare-forms/dd-form-2870
Category: Healthcare Forms
Attributes: Trusted by accountants

DD Form 2870 is a document used to authorize the release of a military patient’s medical or dental information to a third party, such as a school or insurance.

Our fillable DD Form 2870 can be completed in less than 15 minutes, as long as you open it in our PDF editor and type the information directly. The entire process is quick, smooth, and straightforward.

## Versions

- 2024 — [download PDF](https://cdn.sanity.io/files/i16te7yp/production/a5876ee7dca7c5db2eb477cfc533c2a5e6f2e2b6.pdf)

## How to Fill Out a DD Form 2870

Step 1: Open DD Form 2870 in our PDF editor.

Step 2: Fill out Section I with patient data (name, date of birth, etc).

Step 3: Add the names of the facility you authorize to release your information and the organization that should receive it in Section II.

Step 4: Select the reason for release and details on the information to be shared.

Step 5: Sign the form and add a date.

Step 6: File it with a specific military treatment facility.

## Facts

### What Is the DD Form 2870?

DD Form 2870 is an authorization for the disclosure of medical or dental information, used by the U.S. Department of Defense. Essentially, by signing and submitting this form, you give your permission to medical institutions to share your medical details with designated third parties.

### Who Should Use the DD Form 2870?

DD Form 2870 should be used by military beneficiaries, their parents, or their legal representatives when authorizing the release of protected health information.

### When Do You File the DD Form 2870?

You should file DD Form 2870 whenever you need to authorize the release of health records to a third party. This is often necessary for insurance purposes, school, or continued medical care.

### What Are the Penalties For Not Filing the DD Form 2870?

There are no penalties for not filing DD Form 2870, as its submission is entirely voluntary. However, if you don’t sign it, your protected health information won’t be released, which may prevent you from getting the care you need and the benefits you might be entitled to.

### Where Do I File the DD Form 2870?

You should file DD Form 2870 with a particular military treatment facility or TRICARE contractor that holds the records with the information you want to have released.

## Related forms

- [SSA-521 Form](https://pdf.net/pdf-forms/legal-forms/ssa-521)
- [VA Form 21-526EZ](https://pdf.net/pdf-forms/military-forms/va-form-21-526ez)
- [VA Form 10-5345a](https://pdf.net/pdf-forms/healthcare-forms/va-form-10-5345a)
- [Form SSA-827](https://pdf.net/pdf-forms/legal-forms/ssa-827-form)
- [Form CMS-1500](https://pdf.net/pdf-forms/healthcare-forms/cms-1500)