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DA Form 4876 Request and Release of Medical Information to Communications Media
What Is DA Form 4876?
This is a military form that was released by the U.S. Department of the Army (DA) on April 1, 2010. The form, often mistakenly referred to as the DD Form 4876, 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 DA.
FAQ
Q: What is the DA Form 4876?A: The DA Form 4876 is a form used to request and release medical information to communications media.
Q: Who uses the DA Form 4876?A: The DA Form 4876 is used by individuals and healthcare providers to request and release medical information to communications media.
Q: What is the purpose of the DA Form 4876?A: The purpose of the DA Form 4876 is to authorize the release of medical information to communications media for the purpose of reporting on medical-related matters.
Q: Is the DA Form 4876 mandatory?A: The use of the DA Form 4876 is generally not mandatory, but it may be required by certain healthcare facilities or organizations.
Form Details:
- A 2-page document available for download in PDF;
- The latest version available from the Army Publishing Directorate;
- Editable, free, and easy to use;
- Fill out the form in our online filing application.
Download an up-to-date fillable DA Form 4876 down below{class="scroll_to"} in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 4876 Request and Release of Medical Information to Communications Media
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