U.S. Army Medical Department, Office of the Surgeon General
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Miscellaneous Forms

Click on the forms below to view the documents in Adobe .pdf format. If you cannot open the .pdf documents, visit adobe.com External Link, Opens in New Window to download a free Adobe Reader.

DA FORM 2870 - Authorization For Disclosure of Information Acrobat PDF

DD FORM 2569 - Third Party Collection Program/Medical Services Account/Other Health Insurance Acrobat PDF

DD FORM 877 - Request for Medical/Dental Records or Information Acrobat PDF

 

 

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Fox Army Health Center | 4100 Goss Road | Redstone Arsenal, Alabama 35809-7000 | Phone: 800.223.9531


This Web site provides an introduction to the U.S. Army Medical Department's headquarters organizations, which are the Office of the Army Surgeon General and
U.S. Army Medical Command headquarters. It is intended for interested members of the public, news media and Army Medical Department beneficiaries.