close

GSA.gov unavailable during weekend maintenance

From 7 p.m. ET on Friday, Sept. 27, until 2 p.m. ET on Saturday, Sept. 28, GSA.gov will be unavailable while GSA IT upgrades the site.

Medical Record Report

  • Title: Medical Record Report
  • Form #: OF275
  • Current Revision Date: Obsolete
  • Authority or Regulation: GSA/ICMR FMR (41 CFR) 102-194.30(i)

PDF versions of forms use Adobe Reader. Download Adobe Reader