Patient Administration Services
The Patient Administration Department provides unparalleled dedication and selfless service to our patients, clinical staff, and employees. Our mission in the Patient Administration Department is to provide support and assistance to our staff and beneficiary population on all medical record-related matters.
In accordance with DHA 6025.18 and AR 40-66, medical records are the property of the U.S. Government. It is our responsibility to ensure that medical records are safeguarded from loss, tampering, and from unauthorized release of information.
Services Offered
In-processing
Out-processing
Requests for Medical Records
In-processing
A copy of your orders is required for in-processing.
Out-processing
A copy of your orders is required. Medical records can no longer be hand carried to your next duty station; they will be forwarded according to DODI 6040.43 and AR-40-66.
Requests for Medical Records
Requests for medical records from another Military Treatment Facility or civilian provider, please provide the provider's name, address, phone number, and fax number.
Requests for Copies of Medical Records
We can provide copies of your medical records request via compact disk (CD) or DOD SAFE. Patients can also obtain copies of their medical records through the MHS GENESIS Portal:
https://my.mhsgenesis.health.mil
A completed signed authorization for disclosure of medical records is required for processing medical records requests. Authorized individuals over the age of 18 years old MUST sign DD Form 2870 to give permission to release their medical information to that designated individual.
Release of Medical Records Form (DD Form 2870): https://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd2870.pdf
Please email medical record (DD 2870) form to: dha.detrick.barquist-ahc.mbx.bcadcao@health.mil
Active-Duty Service Member Only
DA Form 5018 ASAP Client’s Consent Statement for Release of Treatment Information will be used for authorization to disclose alcohol or drug abuse patient information from medical records or for authorization to disclose information from records of an alcohol or drug abuse treatment program.
Release of SUDCC Records Form (DA Form 5018):
https://armypubs.army.mil/pub/eforms/dr_a/arn39275-da_form_5018-000-efile-1.pdf
Hours of operation are Monday - Thursday, 7:30 a.m. to 4:00 p.m. and can be reached at 301-619-8496.