DD Form 877-1. Request for Medical/Dental Records from the National Personnel Records Center (NPRC) (St. Louis, Missouri)

DD Form 877-1 - Request for Medical/Dental Records from the National Personnel Records Center (NPRC) (St. Louis, Missouri) is used to request medical and dental records from the National Personnel Records Center (NPRC) located in St. Louis, Missouri. This form is crucial for obtaining medical and dental records for individuals who were part of the armed forces.

The form consists of sections where the requester provides details about the requested medical and dental records, including the patient's personal information, the purpose of the request, and the type of information needed. It also includes the requester's contact information for communication.

Important fields in this form include patient's personal information, details of the requested records, purpose of the request, and requester's contact information. Accurate completion is vital to ensure that the correct medical and dental information is provided.

Application Example: Military veterans or their authorized representatives may use DD Form 877-1 to request medical and dental records from the NPRC in St. Louis. This form is essential for accessing medical information required for healthcare services and benefits claims.

Related Form: DD Form 877 is a related form used to request medical and dental records or information from military medical facilities.

Alternative Form: There may be specific forms or processes within the military branch or medical facilities for requesting medical and dental records.