Dd 2870-2026

1. Click ‘Get Form’ to open the dd 2870 in the editor.
2. Begin by filling out Section I - Patient Data. Enter your name, date of birth, and social security number in the designated fields.
3. Indicate the period of treatment by specifying the start and end dates. Select the type of treatment applicable to you by marking the appropriate box.
4. In Section II - Disclosure, authorize the release of your medical information by entering the name of the physician or facility and their address.
5. Provide a reason for requesting your medical information by checking all that apply in Section II. Specify any additional reasons if necessary.
6. Complete Section III - Release Authorization by signing and dating where indicated. Ensure you understand your rights regarding this authorization.

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