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Department of Defense form 2770. Official designation: DD Form 2770, Abbreviated Medical Record, April 1998.. Purpose: Abbreviated Medical Record. Current edition not stated, status not stated.
Governing directive: not stated. Responsible office: not stated. The DD designation signals joint scope — all military departments, combatant commands and defense agencies draw on a single edition of the document.
Common users: service members regardless of branch, Defense civilian staff, and the offices that file, verify or retain the finished document.
Timing of submission is fixed by not stated and by the implementing guidance of the submitting organization. What follows describes the blank document, not agency procedure.
Formats offered: PDF. Length: 1 pages. Fillable field count: roughly 16.
Distribution centres on pdf. Two states exist: fillable, where field boxes accept keyboard input and retain it, and printable, a static blank produced for manual completion. Typed data reproduces cleanly across copies; handwritten data depends on the writer.
The xfdl release corresponds to IBM Lotus Forms. This format carried Department-wide form distribution for years and opens only in IBM Lotus Forms Viewer or a compatible client, not in a pdf reader.
Every listed format is free to download. Modern pdf software handles the pdf files, with the caveat that browser-embedded viewers sometimes ignore field properties that a desktop reader honours.
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:
The document is filled from the top down. Identification precedes substance, substance precedes certification. Fields lower on the page are commonly keyed to entries made above them.
The current edition is not stated. Superseded editions of DD forms are frequently rejected at the receiving office, since Department-wide forms change centrally and older layouts lose their field correspondence. Edition date appears in the lower corner of the printed blank.
The signature block takes an actual signature. On paper this means ink; electronically it means a credentialed digital signature, commonly CAC-based. Typed text in a signature field satisfies neither.
Privacy Act notice: DD forms that collect personal data carry a Privacy Act Statement stating the authority for collection, the principal purpose, routine uses and whether disclosure is voluntary or mandatory. The statement is part of the form and should be read before entry, not after.
Errors seen most often involve edition mismatch, empty mandatory fields, illegibility after scanning, date formats inconsistent with the printed instruction, and unsigned or undated certification.
Field-level instructions appear on the form itself and in not stated. The directive is the controlling text.
After completion, the copy goes to the office designated by not stated or by local procedure. Retention of a personal copy is ordinary practice and costs nothing.
Associated forms are traced by number within the series. Because the DD sequence is common to all military departments, no service qualifier is needed to identify a referenced form.
A DD number and a DA number may appear in the same instruction without being related. DA forms belong to the Army alone; DD forms belong to the Department and are administered at Department level. The sequences are independent.
Editions change because the underlying directive changes, because collection requirements are revised, or because Privacy Act language is updated. Checking the edition date at the point of download is the practical response.
The material here is descriptive. Nothing on the page constitutes legal or procedural advice, and no statement here determines whether a submitted form will be accepted. Such questions go to not stated, a servicing administrative office, or the authority identified 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?