DD Form 2871 Request to Restrict Medical or Dental Information

What Is DD Form 2871?

This is a form that was released by the U.S. Department of Defense (DoD) on December 1, 2003. The form, often mistakenly referred to as the DA Form 2871 , is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DoD.

FAQ

Q: What is DD Form 2871?A: DD Form 2871 is a document used to request the restriction of medical or dental information.

Q: What is the purpose of DD Form 2871?A: The purpose of DD Form 2871 is to request the restriction of medical or dental information to protect privacy.

Q: Who can use DD Form 2871?A: Anyone who wants to restrict their medical or dental information can use DD Form 2871.

Q: What information can be restricted using DD Form 2871?A: DD Form 2871 can be used to restrict any medical or dental information that you do not want to be disclosed to certain individuals or organizations.

Q: Is there a cost to submit DD Form 2871?A: No, there is no cost to submit DD Form 2871.

Q: How long does the restriction on medical or dental information last?A: The length of the restriction on medical or dental information can vary, but it is typically valid for one year.

Q: Can the restriction be lifted before the expiration date?A: Yes, you can request to lift the restriction before the expiration date by submitting a new DD Form 2871.

Q: Who can access the restricted medical or dental information?A: Only authorized individuals or organizations who have a legitimate need to know can access the restricted medical or dental information.

Q: What should I do if I have concerns about the privacy of my medical or dental information?A: If you have concerns about the privacy of your medical or dental information, you should consult with the appropriate military or healthcare personnel for guidance.