Da 2780 pdf-2025

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The U.S. DOD Form dod-dd-2870 is an authorization form for the disclosure of medical or dental information, compliant with the Privacy Act of 1974. It allows individuals to request the use and/or disclosure of their protected health information to various entities such as healthcare providers, insurance companies, or for personal use. The form outlines the rights of the individual regarding their health information, including the ability to revoke authorization and conditions under which information may be disclosed.

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