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. Please check to make sure that records from
recent years have been retired to NPRC before
preparing this form. Most inactive records are
held at the military treatment facility 1 to 5 years
after the end of the treatment year before
retirement. See paragraph 6 below for additional
information. For recent records, contact the
Records Management Officer of the related facility
to find out if records have been retired, if they are
in a records holding area, or are still at the facility.
2. Prepare the request form in triplicate.
3. TO EXPEDITE THE RECEIPT OF RECORDS,
YOU MUST COMPLETE ITEMS 1 THROUGH 11
AND ITEM 14. Incomplete forms will be returned.
4. This form is authorized for use by military
medical treatment facilities ONLY. Do not
distribute to individuals for personal use.
5. All entries relate to a patient AT TIME OF
TREATMENT.
6. Submit one form per patient, per type and year
of records requested.
INPATIENT RECORDS - Inpatient (clinical) records
generally contain documentation of treatment
during a single calendar year. These records are
normally retired and identified by the hospital
which created them. Requests for inpatient
records must include the facility name and year of
treatment.
HEALTH RECORDS - NPRC maintains health
records for all U.S. Coast Guard and for military
personnel separated from service prior to the
following dates: Army - October 16, 1992; Air
Force - May 1, 1994; Navy - January 31, 1994;
and Marine Corps - May 1, 1994. After these
dates, the health records are maintained by:
DEPARTMENT OF VETERANS AFFAIRS
RECORDS MANAGEMENT CENTER
P.O. BOX 5020
ST. LOUIS, MO 63115
OTHER MEDICAL RECORDS - Outpatient, dental,
psychiatric, and consultation records are generally
cumulative. A record may contain documents
covering several years from several facilities. When
these records reach inactive status, they are
generally retired and identified by the facility at
which the patient was last treated or stationed.
Requests for outpatient, dental, psychiatric, or
consultation records, therefore, must include the
type of record being requested, the facility and last
year of treatment.
Please be aware that reassignments after last
treatment may result in records (outpatient, dental,
psychiatric, and consultation) being transferred to
and retired from other military treatment facilities. If
no treatment was received at the medical facility at
the place of final assignment, please write the name
and location of that facility and the year departed in
Item 10, "Remarks."
7. Send the original and first copy of the completed
form to the NPRC location indicated below which
maintains the records you are requesting. Retain the
third copy for your files.
For military (active duty and retired) treated at
Army, Air Force, and Navy medical treatment
facilities; and dependent and other non-military
personnel treated at Navy medical treatment
facilities:
NATIONAL PERSONNEL RECORDS CENTER
ATTN: ORGANIZATIONAL RECORDS
9700 PAGE AVENUE
ST. LOUIS, MO 63132-5100
For dependent and other non-military personnel
treated at Army and Air Force medical treatment
facilities:
NATIONAL PERSONNEL RECORDS CENTER
ATTN: REFERENCE SERVICE BRANCH
111 WINNEBAGO STREET
ST. LOUIS, MO 63118
8. Please enter the return address completely and
legibly on the original and copy of the request.
