In which section of AF Form 2100A, Health Record-Outpatient, is the DD Form 2005, Privacy Act Statement filed?

• A. Section 2
• B. Section 1
• C. Section 3
• D. Section 4

Answer: (C)

The DD Form 2005, Privacy Act Statement, belongs in the section of the outpatient health record that is dedicated to Privacy Act information. That section is designated for notices and disclosures related to privacy rights and the handling of records, so placing the Privacy Act Statement there makes the notice readily visible to anyone reviewing the record and keeps privacy information separate from the medical data. The sections that contain demographic data or clinical notes are not appropriate places for this privacy notice, since it’s specifically about how the information in the record may be accessed or disclosed. In short, file the Privacy Act Statement in the privacy information section to ensure proper visibility and compliance.