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DD Form 2005 Privacy Act Statement - Health Care Records
What Is DD Form 2005?
This is a form that was released by the U.S. Department of Defense (DoD) on June 1, 2016. The form, often mistakenly referred to as the DA Form 2005 , 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 2005?
A: The DD Form 2005 is a document that pertains to Privacy Act Statement for health care records.
Q: What is the purpose of the Privacy Act Statement?
A: The purpose of the Privacy Act Statement is to inform individuals about how their health care records will be used and protected.
Q: What information does the Privacy Act Statement cover?
A: The Privacy Act Statement covers information such as the collection, use, and disclosure of health care records.
Q: Is the Privacy Act Statement required for all health care records?
A: Yes, the Privacy Act Statement is required for all health care records maintained by the Department of Defense (DoD).
Q: Who is affected by the Privacy Act Statement?
A: The Privacy Act Statement affects individuals whose health care records are maintained by the DoD.
Q: What rights do individuals have under the Privacy Act Statement?
A: Individuals have the right to access and request amendments to their health care records under the Privacy Act Statement.
Q: How is the Privacy Act Statement enforced?
A: The Privacy Act Statement is enforced through the provisions of the Privacy Act of 1974.
Form Details:
- A 1-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 2005 down below in PDF format or browse hundreds of other DoD Forms compiled in our online library.
