DDFORMS.ORG – DD Form 877 – Request For Medical/Dental Records or Information – The DD Form 877 is used to request a copy of a person’s medical or dental records. This can be a very helpful tool when a person is trying to get an accurate diagnosis. There are some things you should know when filling out this form.
Download DD Form 877 – Request For Medical/Dental Records or Information
| Form Number | DD Form 877 |
| Form Title | Request For Medical/Dental Records or Information |
| Edition Date | 9/1/1967 |
| File Size | 120 KB |
What is a DD Form 877?
A DD Form 877 is a form used to request medical records. It can be delivered by a military member to an MTF. The MTF will file the document in the SF 600, a Chronological Record of Medical Care. If the SF 600 is not in electronic format, the facility will scan loose paper forms. Once the documents are scanned, they will be uploaded into the Theater Medical Data Store.
SF 600s from single-visit encounters must be filed in chronological order. This is done by completing the patient’s demographic data on each page. The date of the current food handler examination should be recorded as well. Upon completion, the records should be closed. In addition, if the patient is legally aged, they must contact the ROI office.
DD Form 877s are not for hand carry. They can be sealed in an envelope. An explanatory entry should be made on the SF 600 if the person is a deserter. Alternatively, they can be sent to an STR RPC for digitization. During this process, they will be broken into three sub-parts: Document Title, Document Type, and Document Title – STR Medical Record Part 1. Each sub-part will be indexed as an appropriate STR part. For example, if a military officer is transferring to an army unit, the Document Title will be Army Officer – STR Medical Record Part 1 and if the officer is a civilian employee, the SSN of the employee will be used.
Where Can I Find a DD Form 877?
The DD Form 877 is not just for doctors. It can be used to obtain information from your health records department, such as medical history or the latest prescriptions. The DD Form 877 is also a good place to start for finding out about your benefits.
It is a good idea to keep a copy of the DD Form 877 on hand, just in case. You can download it from the DoD website. Alternatively, you can request a copy of the form from your local health records processing center. If you’re not sure where to go, try contacting the nearest USCG clinic. They may have a database of records that you can access.
Another place to look is the USCG Central Cell, whose Health Records Processing Center is a great resource for questions about your health records. Their Medical Record Tracking, Retirement, and Retrieval User Guide will give you an in-depth description of the aforementioned barcode label requirements. There are also a number of other helpful resources, including the Medical Records Tracking Module, which is a convenient one-stop shop for tracking your health records and getting the most out of the program. Having a consolidated record of your health is important not just for military service but for your civilian life as well.
DD Form 877 – Request For Medical/Dental Records or Information
If you are a military member in a deployed location, you may be required to request your own medical/dental records. The process can be a bit daunting. Here are a few things to keep in mind.
First, you need to know that a deployment health record is composed of a hard copy DD Form 2766 Flowsheet. It consists of three subparts. The first subpart, STR Medical Record Part 1, is broken up into three parts. Each part has a specific document title and a document type. For example, an STR Part 1 subpart is titled Document Title – STR Medical Record Part 1.
The next thing you need to know is that a DD Form 877 isn’t the only way to request your own medical/dental records. A DD Form 2138, which is the request for outpatient records, is another option. You’ll need to follow these steps to ensure your request gets completed.
Finally, you’ll want to take a look at the SF 600, the Chronological Record of Medical Care. You’ll need to fill out the correct section and include the date of your current medical examination. When filing SF 600s, you’ll need to make sure that you file them in chronological order. This is also true of SF 600s from single-visit encounters.
DD Form 877 Example
