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Inpatient record requests are fulfilled by the Inpatient Records Department. To obtain these records, fax a DD 2870 (Authorization for Disclosure of Medical Information) along with a copy of your identification/driver’s license (front and back) to (757) 953-5988. DD 2870 FORM INSTRUCTIONS.
20 paź 2023 · Defense Health Agency Forms. DHA Form 116: Pediatric and Adult Influenza Screening and Immunization Documentation. DHA Form 207: COVID-19 Vaccine Screening and Immunization Document.
To request a copy of your medical record, you are required to fill out a DD 2870 (Authorization for Disclosure of Medical Information). You may submit your request in person at the front desk of the Outpatient Records
20 cze 2023 · Naval Medical Center Portsmouth 620 John Paul Jones Circle Portsmouth, VA 23708-2197
7 cze 2024 · Naval Medical Center Portsmouth 620 John Paul Jones Circle Portsmouth, Virginia 23708-2197. Defense Health Network: Atlantic. Main Phone: 757-953-5008. Hours of Operation: 24/7.
If you want someone else to be able to get medical or dental information on you or your family while you are moving, you need to complete a DD Form 2870, "Authorization for Disclosure of Medical or Dental Information." For more information on getting copies of medical records, visit TRICARE Request Copies of Medical Records.
1 sty 2014 · Navy Medicine ensures timely transfer of service treatment records (STRs), commonly referred to as your medical and dental records, to the Department of Veterans Affairs (VA) within 45...
