APPENDIX 3-C.  INSTRUCTIONS FOR RELEASING RECORDS CONTAINING

CONFIDENTIAL INFORMATION  -  March 31, 1997 NPRC 1865.103A


REQUESTER SPECIAL INSTRUCTIONS FURTHER ACTION
Veteran and
Federal routine uses		 None. (Send all relevant records.) None
All others Use the following paragraph to deny all data relating to rehabilitation:

"According to Federal law, we are unable to comply with this request insofar as it pertains to certain records. Regulations prescribe a specific form of release authorization which must state the SPECIFIC TYPE OF TREATMENT INVOLVED, and the purpose for which the records are needed. If you will have (insert name of individual) complete, sign, and return the attached form, we will contact him/her regarding release authorization for those records, and consider your request further."

 Attach NA Form 13078, Preliminary Form for Release of Military Medical Patient Records, for requester to give to veteran. Return record to file.

If NA Form 13078 is returned, send veteran NA Form 13036, Authorization for Release of Military Medical Patient Records, writing in "drug abuse" or "alcohol abuse" under "Specific Type of Treatment Involved."
(See fig. 3-C-1.) Return record to file. Upon receipt of the authorization send records to requester.

NOTE: If the veteran authorizes the requester to receive copies of confidential information, then provide the information. For court order cases, see the latest revision of NPRC 1864.107.


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Appendix 3-C. Instructions for releasing records containing confidential information