Fillable Military Forms

DD Form 2138 — DD Form 2138, Request for Transfer of Outpatient Record, January 1978.

Request for Transfer of Outpatient Records

You need DD Form 2138, and this page gives you the blank plus the steps for handling it. Start with what the form does: Request for Transfer of Outpatient Records. Its official title is DD Form 2138, Request for Transfer of Outpatient Record, January 1978..

Then look at the edition date: not stated, publisher status not stated. After that, ask whether the form covers your situation. It almost certainly does regardless of your branch — DD forms run Department-wide rather than through a single service.

Then settle the schedule. You are working under not stated, with not stated responsible for the document, and your organization layers its own deadlines on that. Ask before you assume a date.

Before you download, pick your approach — editable file or printed page. What follows covers the formats first, then the entries, then what you do afterward.

Now fill it in. Work from the top of the page downward, and do not jump ahead — the identifying block comes first, the substance of your entry second, the certification last. Later boxes often depend on what you put at the top.

Check the edition before you type a word. The date appears on the face of the form; it should read not stated. When it does not, discard the file and take a fresh copy from this page. Department-level revisions replace the blank across all services simultaneously, which means an old printout can be out of step everywhere.

Work through the fields one at a time and leave nothing blank. When a box does not apply to you, write N/A rather than skipping it, so the reviewer can see you read the question. Follow the date format printed beside each date field instead of the one you normally use.

Stop at the Privacy Act Statement and read it through. You will find the authority for the collection, the principal purpose, the routine uses, and whether disclosure is voluntary or mandatory. Read it now, while you still have the choice of what to disclose.

Sign only after every other entry is complete. Use ink on a printed copy, or a credentialed digital signature — CAC-based, in a reader that handles it — on an electronic one. A typed name satisfies neither method. Enter the date next to it before you close the file.

Review before you submit. Look for a superseded edition, blank mandatory fields, illegible writing, dates in the wrong format, and an unsigned or undated certification.

Look up an unclear item on the form face before anywhere else, then in not stated. Should the two texts conflict, the directive is the one you follow.

Download the form

Begin by choosing a file. Available here: PDF. Plan for 1 pages and about 17 entries.

Whichever you pick, you pay nothing — every format here is a free download. One last tip: open your pdf in a desktop reader rather than in a browser tab, because browser viewers sometimes drop the interactive fields you need.

What the form asks for

  • Part 3 - Requesting Facility. From (Complete mailing address of requesting facility).
  • Date.
  • Sponsor name (last, first, middle initial).
  • Part 3 - Requesting Facility. From (Complete mailing address of requesting facility).
  • Date.
  • Press this reset button to clear the data from all fields
  • Print name (last, first, middle initial) and relationship to sponsor (family prefix code). Embossed patient's card may be used.
  • Part 2 - Sponsor information. Grade.
  • Sponsor name (last, first, middle initial).
  • Department.
  • Social Security Number. Include dashes.
  • Requester (Signature, grade and title).
  • Print name (last, first, middle initial) and relationship to sponsor (family prefix code). Embossed patient's card may be used.
  • Part 2 - Sponsor information. Grade.
  • Department.
  • Social Security Number. Include dashes.
  • Requester (Signature, grade and title).

Now that it is complete, send it where not stated or your local procedure says it goes. Before you do, make yourself a copy — scan it or save the file elsewhere. It costs you nothing and saves you the whole exercise if the original goes missing.

If the form points you to another document, you can find it by number alone. DD numbering runs across the whole Department, so you do not need to work out which service issued it — one number, one form, everywhere.

Here is where people go wrong. They see a number in an instruction and download whichever form matches it. But DA and DD are separate systems — Army-specific in one case, Department-wide under not stated in the other — so check which series you were sent to before you take the file.

Do not archive this file and reuse it in a year. Forms are reissued as directives are revised, as data requirements shift, and as statutory notice text is amended. Your protection is simple: download fresh each time and confirm the edition date.

Before you go, note what is not covered here. You have the blank form and instructions for completing it; you do not have legal guidance, and no statement on this page determines what any office will do with your submission. Direct those questions to not stated, to the personnel office that serves you, or to the office designated in not stated.

Questions and answers

What is DD Form 2138?
DD Form 2138, Request for Transfer of Outpatient Record, January 1978.
Which edition is current?
Not stated by the publisher
Who is responsible for this form?
Not stated
In which formats can it be downloaded?
PDF

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