DD Form 2870, Authorization for Disclosure of Medical or Dental ...-2026

1. Click ‘Get Form’ to open the DD Form 2870 in the editor.
2. Begin by filling out Section I - Patient Data. Enter your name, date of birth, and social security number accurately.
3. In Block #4, specify the treatment period using the format (YYYYMMDD). Ensure that you do not list dates as ONGOING or ALL.
4. For Block #6, indicate the facility authorized to release your information. Include all required details such as address and contact numbers.
5. In Block #8, clearly state 'Any and all medical records' to ensure comprehensive disclosure.
6. Complete Blocks #9 and #10 with matching dates. Remember that the expiration date cannot exceed one year from the start date.
7. Finally, sign and date the form in Section III to authorize the release of your medical information.

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