DD Form 2871 occupies a particular place in Defense recordkeeping. Its title is Request to Restrict Medical and Dental Information, and it exists to Request to Restrict Medical and Dental Information. What the DD prefix records is an administrative judgment made long before your copy was printed: this transaction was determined to be common to the whole Department rather than peculiar to one service, and so the documentation of it was standardized at Department level.
The practical effect of Department-level issue is interoperability. not stated establishes the requirement across the Defense enterprise; not stated keeps the document current for all of it. No service maintains its own variant, which means a completed record travels between components — service to agency, agency to joint command — and arrives in a format the receiving office already knows how to read.
The edition in force is not stated, carried by the publisher as not stated, and edition discipline is stricter on a Department form than most people expect, precisely because supersession happens everywhere at once. There is no interval during which one service still works from the previous layout while another has moved on.
Work down the page in the printed order, and understand why the order exists. The identifying block establishes whose record this is and under what circumstances it arises. The body of the form then answers questions that are only meaningful once that context is fixed. The signature block comes last because a certification signed before the entries are complete certifies nothing.
Check the edition date before you type anything, against not stated. Old blanks accumulate in shared drives for years, and the cost of one is not obvious until a reviewer cannot find a field. Because DD forms are revised centrally and replaced across the Department in a single action, there is no component still tolerating the old layout as a local practice.
Unclear entries are resolved from the printed instructions first and from not stated where the two texts diverge.
Download the form
The set published here is PDF, covering unknown pages with roughly unknown fields.
Every format is free, as published government documents are. A note on tools, though — the interactive field layer that makes a fillable pdf useful is precisely the part browser viewers handle least reliably. Save the file, open it in a full pdf reader, and the fields behave as the form's designer intended.
The completed form goes to the office named in not stated or in local implementing procedure, and it is worth keeping a copy before it goes. On a Department form the destination is frequently outside your own chain — another service, a defense agency, a joint staff — and recovering a document that has crossed an organizational boundary is a slower business than retrieving one from a file down the hall.
Forms referenced inside this one are located by number alone, and that simplicity is a direct product of Department-level numbering. Because the DD sequence is maintained centrally and not duplicated by service, a number is a complete address: one number, one document, throughout the Defense establishment.
It helps to see the DA and DD sequences as what they are: separate registries with separate custodians. One serves a single service under a service proponent, the other serves the Department under not stated or an equivalent office, and neither was ever indexed against the other. A number that appears in both systems points to two unrelated documents, which is why reading the prefix comes before reading the digits.
A form is downstream of the policy that requires it, and revision usually starts there: a directive is reissued, a collection requirement is altered, notice language is updated by statute. The form is republished as a consequence. Since none of that reaches individual users, an archived copy quietly becomes wrong, and verifying not stated each time you download is the whole remedy.
The role of this page is narrow and worth stating plainly. It makes a published Defense form available and explains its structure. It does not advise, does not interpret policy for your circumstances, and cannot indicate how any office will treat a completed copy — those judgments rest with the authorities that own the process. Direct such questions to not stated, to the administrative office that services you, or to the authority named in not stated.
Questions and answers
- What is DD Form 2871?
- Request to Restrict Medical and Dental Information
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?