You have arrived looking for DD Form 2770. Before you download, confirm this is the right document: Abbreviated Medical Record. Full title: DD Form 2770, Abbreviated Medical Record, April 1998..
Your second step is the edition, not stated, listed as not stated. Your third is scope. Because the number carries a DD prefix, you use the same blank as every other military department and defense agency; no service-specific version exists for you to hunt down.
Once you know the form fits, find out when you file it. not stated sets the requirement, and not stated maintains the form itself. Your own command or agency adds local timing on top of that, so ask your administrative office if the deadline matters to you.
Last in this stage, choose your method: complete it on screen, or print the blank form and fill it out in pen. The sections below take each route step by step.
Begin at the top and move down. Enter your identifying data first, then the body of the form, then the signature block. The sequence is printed in that order because entries below frequently follow from entries above.
Your first action is verification. Find the edition date on the form and match it against not stated. A mismatch means you are working from a superseded printing, and because DD forms change Department-wide rather than service by service, the office receiving it will notice.
For questions about a specific entry, check the form's own instructions, and if that does not settle it, open not stated. The directive controls where they differ.
Download the form
Begin by choosing a file. Available here: PDF. Plan for 1 pages and about 16 entries.
Take the pdf if you are unsure. Then check which kind you have: if the boxes highlight when you click them, you have a fillable pdf and can type straight into it, and your entries save with the file. If nothing highlights, you have a printable pdf — send it to a printer and use black ink.
Prefer typing over writing. Your form will likely be scanned and emailed onward, and typed text reproduces at every stage while pen strokes fade or blur. When you do write, print in capitals so the receiving clerk can read it.
Before you take the xfdl file, make sure you can open it. Install IBM Lotus Forms Viewer or an equivalent client first, because your pdf reader will refuse the file. Then download and complete it as normal.
You will not be charged for any of these; the whole set is free. Before you start entering data, save the file to your computer and open it there. Fields behave far more reliably in a desktop reader than in a browser preview.
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:
Submit the completed form through the channel not stated or your local guidance specifies. Save a copy for yourself before it leaves your hands, whether that means a scan, a photograph or a duplicate file.
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.
Be careful when a procedure pairs this form with a service form. Read the prefix, not just the digits. Service forms answer to a service proponent, while DD forms answer to not stated or an equivalent Department office, and the two sequences were never aligned. Grabbing the wrong prefix gets you a form that has nothing to do with your task.
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 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?