Af Form 887 DD FORM 877 SEP 67 CUI when filled in CUI when filled in REQUEST FOR MEDICAL DENTAL RECORDS OR INFORMATION REQUESTING ACTIVITY Complete Items 1 through 10 Except 8b also complete Item 19 ADDRESSEE Complete Items 8b 11 to 14 or 15 to 18 as appropriate final referrer shall return to requester DATE 1 PATIENT
AF Form 887 also known as the Medical Record Charge Out Guide Blue serves a crucial role in maintaining the efficient organization of medical records within USAF medical treatment facilities This form is designed to track the movement of patient medical records when they are retrieved or checked out for various purposes By utilizing AF e AF Form 682 Certificate in Lieu of Lost or Destroyed Certificate of Service USAF is used to replace any lost or destroyed certificate of service or like form issued on release from EAD in the Air Force 887 6 Who must sign CILs a DD Form 363AF must be signed by a general officer or colonel b All other CILs must be signed by
Af Form 887
Af Form 887
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AF Form 688C Armed Transfer Agent AF Forms
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https://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd0877.pdf
DD FORM 877 SEP 67 CUI when filled in CUI when filled in REQUEST FOR MEDICAL DENTAL RECORDS OR INFORMATION REQUESTING ACTIVITY Complete Items 1 through 10 Except 8b also complete Item 19 ADDRESSEE Complete Items 8b 11 to 14 or 15 to 18 as appropriate final referrer shall return to requester DATE 1 PATIENT

https://af-forms.com/af-form-887-medical-record-charge-out-guide-blue-for-use-by-usaf-medical-treatment-facilities-only/
AF Form 887 also known as the Medical Record Charge Out Guide Blue serves a crucial role in maintaining the efficient organization of medical records within USAF medical treatment facilities This form is designed to track the movement of patient medical records when they are retrieved or checked out for various purposes By utilizing AF
AF Form 988 Leave Request Authorization
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DAFI36 2903 Dress and Personal Appearance of Air Force Personnel AFI36 2406 Officer and Enlisted Evaluation Systems DAFMAN36 2806 Awards and Memorialization Program The official website for Air Force e Publishing Do not use spaces when performing a product number title search e g pubs AFMAN33 361 forms AFTO53 AF673 AFSPC1648
Office of Primary Responsibility OPR using AF Form 847 Recommendation for Change of Publication route the AF Form 847 through the appropriate chain of command and parent Major Command MAJCOM This publication may be supplemented at any level but all direct supplements must be routed to the OPR of this publication for coordination prior Every Air Force Form is designed for a particular purpose learn how to properly complete the official documentation and where to submit the forms to obtain the result you are looking for AF Form 422 AF Form 887 Medical Record Charge Out Guide Blue for Use by Usaf Medical Treatment Facilities Only
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DD FORM 877 1 BACK APR 1998 INSTRUCTIONS FOR REQUESTING MEDICAL TREATMENT RECORDS FROM THE NATIONAL PERSONNEL RECORDS CENTER NPRC ST LOUIS MO DD Form 877 1 is the only request form which NPRC will accept from military facilities for retired medical treatment records Read the information below before completing the front of this form 1 Submit requests for waivers via DAF Form 679 Department of the Air Force Publication Compliance Item Waiver Request Approval through the chain of command to the appropriate Tier waiver approval authority or alternately to the publication OPR for non tiered compliance items Ensure all records generated as a result of processes prescribed
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