DD Form 2138. Request for Transfer of Outpatient Records

DD Form 2138, titled Request for Transfer of Outpatient Records, is used by medical facilities within the Department of Defense to request the transfer of outpatient medical records from one facility to another.

The form consists of sections where users enter details about the patient, the sending and receiving facilities, the reason for transfer, and necessary medical information. It includes fields for patient identification, medical condition, relevant treatment history, and contact information.

Instructions for filling out DD Form 2138 involve accurately providing the patient's medical information, specifying the reason for the transfer, and ensuring that contact information is up to date. Accurate data entry is crucial to ensure continuity of care.

Application Example: When a military service member or their dependents relocate to a new duty station and need to continue medical treatment, DD Form 2138 would be used to initiate the transfer of their medical records to the new facility. This ensures that the new medical team has access to the patient's complete medical history.

Additional Documents Needed: None mentioned.

Related Forms: There aren't direct alternatives to DD Form 2138 within the provided list, as this form is specifically designed for requesting the transfer of outpatient medical records.