Does your chain of command have access to/request your civilian spouse's medical records if they go to a civilian doctor?

It's not a violation of HIPAA for your command to reach out and ask. It is a violation of HIPAA for her provider to give them any information (especially her medical records) without her permission. The command likely wants to verify all the appointments that will require you to be away from your place of duty. It's your responsibility to provide them with sufficient proof of those appointments. A handwritten or emailed listing of appointment days/times probably isn't sufficient; the command will likely require something official from the provider indicating those dates, and they will also want some justification that you are needed at all of those appointments. So, provide the command with what they need to ensure that you're asking for reasonable accommodations for your spouse's legitimate health needs under the EFMP.

There is t much here. The short answer is no they cannot access your spouses civilian record, things to think about, does she have a military primary care or a civilian. Will the information being held back improve or complicate her treatment. Your spouse not providing as much as necessary to continue to treat her as an EFMP is crucial. For this alone your query concerns me.

EFMP is. It a program that continually allows you to miss duty to perform as a primary care. Each duty position at each installation will have a set of criteria that is followed in order to determine if you are mission ready. I would encourage your spouse to keep the military doctors or commanders abreast of treatment as a note from a civilian doctor does not dictate the term of the EFMP as it is managed at each installation.

Depending on many factors you can also be separated from service for failing to have a suitable Care Plan allowing you to perform your duties.

I do hope your wife is well.

Responded to your DM to me