AF-C-460th Medgroup-Buckley

State of District of Columbia

Official Website: https://buckley.tricare.mil/

Forms & Documents

Browse all AF-C-460th Medgroup-Buckley government forms

All 6 forms

Form Title Topics
DA Form 4254 - Request for Private Medical Information
DA Form 5018-R - ADAPCP Client's Consent Statement for Release of Treatment Information
DD Form 2870 - Authorization of disclosure of Medical or Dental Information
DD Form 877 - Request for Medical/Dental Records or Information
DHA Form 207: COVID-19 Vaccine Screening and Immunization Document
DHA Form 236: Pediatric (6 months-11 years) COVID-19 Vaccine Screening and Immunization

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