The NA 13036 form serves a crucial role in the authorization process for the release of military medical patient records. Crafted by the National Personnel Records Center, part of the National Archives and Records Administration, this document outlines a structured approach for individuals seeking to grant access to their confidential medical history specifically related to drug and alcohol rehabilitation. It essentially functions as a bridge, enabling the secure and consented exchange of sensitive information between military personnel and authorized recipients. The form is meticulously sectioned to capture essential details such as the social security or service number of the individual, the authorized recipient's details, the specifics of the treatment, and the purpose of the record release. Moreover, it emphasizes the importance of the individual's consent through required signatures, thereby upholding a high standard of privacy and confidentiality. The acknowledgement of the Paperwork Reduction Act and compliance with the Privacy Act of 1974 further underpins the form's adherence to legal requirements, ensuring that the collection, use, and disclosure of personal information are conducted with the utmost care and respect for individual rights. The NA 13036 form, with its expiration clause, also highlights the temporality and revocability of the authorization, providing individuals with control over their own records. This precise and regulated process ensures that the delicate handling of military medical records is conducted within a framework of transparency, consent, and legal compliance.
| Question | Answer |
|---|---|
| Form Name | Na Form 13036 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | national archivea form 13075, na form 13075 pdf, na form 13036, na form 13075 |