DD Form 2870. Authorization for Disclosure of Medical or Dental Information

The DD Form-2870, Authorization for Disclosure of Medical or Dental Information, is a legal document used by the Department of Defense (DoD) to allow the release and disclosure of medical or dental information to specific individuals or entities.

The form consists of several parts, including personal information of the patient, the name and address of the recipient of the medical information, and the specific purpose for the disclosure of the information. The form also includes a section for the patient to specify any limitations or restrictions on the information that can be disclosed.

The parties involved in the form are the patient, the healthcare provider, and the recipient of the medical information. It is important to consider the privacy and confidentiality of the patient's medical information when compiling the form.

When compiling the form, the patient's full name, social security number, and date of birth are required, as well as the name and address of the recipient of the medical information. Additional documentation, such as medical records or a power of attorney, may need to be attached to support the request for disclosure.

One common application of the DD Form-2870 is for military personnel seeking to release their medical information to their civilian healthcare provider. Another application is for family members seeking to access the medical information of a military service member.

Strengths of the form include its ability to protect the privacy and confidentiality of the patient's medical information while allowing for necessary disclosures. A potential weakness could be the need for additional documentation to support the request for disclosure.

Related forms include the HIPAA Authorization Form and the Medical Release Form. The main difference between these forms is the agency or organization that uses them.

The completed form is typically submitted to the healthcare provider and a copy is kept for the patient's records. The form is stored in accordance with the DoD's medical record retention policies.

In conclusion, the DD Form-2870 is a legal document used by the DoD to allow the release and disclosure of medical or dental information to specific individuals or entities. The form consists of several parts, including personal information of the patient, the name and address of the recipient of the medical information, and the specific purpose for the disclosure of the information. The form is important for protecting the privacy and confidentiality of the patient's medical information while allowing for necessary disclosures.