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DD Form 2161 Referral for Civilian Medical Care
What Is DD Form 2161?
This is a form that was released by the U.S. Department of Defense (DoD) on October 1, 1978. The form, often mistakenly referred to as the DA Form 2161 , is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DoD.
FAQ
Q: What is the DD Form 2161?
A: The DD Form 2161 is the Referral for Civilian Medical Care.
Q: What is the purpose of the DD Form 2161?
A: The purpose of the DD Form 2161 is to authorize civilian medical care for eligible individuals.
Q: Who is eligible for civilian medical care using the DD Form 2161?
A: Eligible individuals for civilian medical care using the DD Form 2161 include active duty military personnel, retirees, and their dependents.
Q: What information is required on the DD Form 2161?
A: The DD Form 2161 requires information about the patient, the referring physician, the recommended specialty, treatment facility, and any necessary diagnostic tests.
Q: Are there any fees associated with civilian medical care using the DD Form 2161?
A: Fees may be associated with civilian medical care using the DD Form 2161 depending on the individual's status and the specific circumstances. Consult with the appropriate military health care office for more information.
Form Details:
- A 2-page document available for download in PDF;
- The latest version available from the Executive Services Directorate;
- Editable, printable, and free to use;
- Fill out the form in our online filing application.
Download an up-to-date fillable DD Form 2161 down below in PDF format or browse hundreds of other DoD Forms compiled in our online library.
Download DD Form 2161 Referral for Civilian Medical Care
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