DD Form dd2871 - also known as the "Request To Restrict Medical Or Dental Information" - is a Military form issued and used by the United States Department of Defense.
The form - often incorrectly referred to as the DA form dd2871 - was last revised on December 1, 2003. Download an up-to-date fillable DD Form dd2871 down below in PDF-format or find it on the Department of Defense documentation website.
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