Hiring Center Medical Records Privacy Release (Form 3400)

In accordance with 5 CFR 339.301, Customs and Border Protection (CBP) performs pre-employment medical evaluations on all candidates tentatively selected to fill positions that include a medical requirement, such as the CBP Officer and Border Patrol Agent positions. During that evaluation process, CBP collects medically relevant information about the candidate from: the candidate, CBP’s contracted medical providers, and/or the candidate’s personal medical and mental health providers. In accordance with 5 CFR 339.305, CBP makes all medical documentation and records of examination available to the candidates. Candidates can request copies of their pre-employment medical examination results and supporting documentation/records by email or letter. Due to the sensitive nature of the information being released, CBP requires that candidates complete and sign a privacy release authorization form in order to receive a copy of their medical documents. CBP will only share medical information directly with the candidate, or with a third party when authorized to do so in writing by the candidate. No specific information is needed to request copies of candidates’ medical documents in writing. When completing the release form, candidates must provide the following information: Full name, partial Social Security Number (SSN#), Date of Birth, Current Address, Email Address, Phone Number; as well as specifying the type of medical records to be released (hearing test results, vision test results, etc.). This information is used by CBP as confirmation that the agency has the candidate’s signed authorization to provide medically related records about the candidate. A copy of that signed authorization and the records released are retained within the candidate’s pre-employment file.

The latest form for Hiring Center Medical Records Privacy Release (Form 3400) expires 2027-04-30 and can be found here.