DA Form 4876 - also known as the "Request And Release Of Medical Information To Communications Media" - is a United States Military form issued by the Department of the Army.
The form - often mistakenly referred to as the DD form 4876 - was last revised on April 1, 2010. Download an up-to-date fillable PDF version of the DA 4876 down below or look it up on the Army Publishing Directorate website.
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