What is DD Form 2770? It is a Department of Defense form titled DD Form 2770, Abbreviated Medical Record, April 1998., and its job is straightforward: Abbreviated Medical Record. That single line covers most of what people want to know before they download it.
Does it apply to your branch? Yes. The DD prefix means Department of Defense, not one service, so the same blank serves the Army, Navy, Air Force, Marine Corps, Space Force and the Coast Guard under Defense jurisdiction. There is no Army version and no Navy version to search for.
Who is behind it? not stated maintains the form, and not stated is the publication that requires it. Those two names answer most questions about why you are being asked to submit anything at all.
Is this the right edition? The current one is dated not stated, and the publisher carries it as not stated. Check that against whatever copy you already have before going further.
What the form asks for
- Press this Reset button to clear the data from all fields.
- 11. Press space bar to mark X if copy placed in outpatient record.
- 1. Admission date (4 digit year. 2 digit month. 2 digit day).
- 2. Chief complaint, pertinent history and pertinent system review.
- 3. Results of physical examination (Including pertintent positives and negatives).
- 4. Impression (Enter admission note with plan on progress notes).
- 5. Admitting Officer. a. Signature.
- 5.b. Date signed (4 digit year, 2 digit month, 2 digit day).
- 7. Discharge date (4 digit year, 2 digit month, 2 digit day).
- 6. Discharge note (Brief hospital course, diagnoses, procedures, condition on discharge, pertinent discharge information (including medications, diet, activity limitations, follow-up instructions)).
- 8. Discharging officer. a. Name (last, first, middle initial).
- 8.b. Grade.
- 8.c. Title.
- 8.d. Signature.
- 9. Patient identification (For typed or written entries: Name (last, first, middle), Grade, SSN, Date of Birth, Hospital or medical facility, Ward number and register number).
- 10. Outpatient and or health record maintained at:
Download the form
What formats exist for this form? PDF. What is the scale of it? 1 pages and approximately 16 fields.
Is there a charge? No — free, all formats. Where should you open the file? In a full pdf application on your own machine. Browser-embedded viewers handle field properties unpredictably.
In what order do you complete it? The printed order, top to bottom. Header data comes before the body, and the body before the signature block. The sequence is not decorative — later entries are keyed to earlier ones.
What if your copy is old? Replace it. Check the date printed on the form against not stated. Old blanks circulate for years in shared folders, and because a DD revision lands across the whole Department at once, the receiving office will be working from the new layout.
What if a specific field still puzzles you? Read the instructions printed on the form, then not stated. Which wins if they differ? The directive.
Who receives it? The office not stated designates, subject to whatever local instruction your organization adds. What do you keep? A copy, made before the form leaves your hands.
Do you need to know which branch issued a related form? No. DD numbering is Department-wide and unified, which means the number on its own is a complete address for the document.
Can you assume a matching number is the same form? No, and this is where downloads go wrong. Read the prefix. Army numbering and Department numbering are independent systems, so the digits alone tell you nothing about which document you need.
Why do editions change at all? Three reasons, mostly: the prescribing directive gets reissued, the information collected changes, or the required notice language is amended. Are you notified when it happens? No. Which is why confirming not stated at the moment you download is worth the few seconds.
Is any of this advice? No. This page distributes a published Defense form and explains its contents, which is a different thing from telling you whether your circumstances qualify or whether a reviewer will accept your copy. Direct questions of eligibility, applicability and procedure to not stated, to your servicing personnel office, or to the office designated in not stated.
Questions and answers
- What is DD Form 2770?
- DD Form 2770, Abbreviated Medical Record, April 1998.
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?