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On this page, you will find various forms that Military Health System uses to support its programs. Please scroll down the page or use the search box to find specific forms and templates.
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We found 532 items
A form for screening both children and adults for contraindications to receiving influenza vaccine. (August 2024)
Privacy impact assessment for the Tripler AMC MedCOI enclave architecture consists of hardware, software, and telecommunications systems. The enclave includes user interfaces such as workstations and laptops and hosts office automation as well as medical systems and applications.
Privacy impact assessment for the DelWorks DR ArtPix EZ2GO is a flexible high-resolution Digital Radiography (DR) system designed to provide fast and smooth radiography examinations of patient imaging.
Privacy impact assessment for the Immucor Echo Lumena is an automated blood bank analyzer which is a microprocessor-controlled instrument designed to fully automate immunohematology in-vitro diagnostic testing of human blood.
Privacy impact assessment for the Philips Healthcare MRI Series Patient Monitor System_AI is a patient monitor within the MRI environment. The MR200, MR400, IP5, and Portal 5000 are intended to be used in the MRI suite, including in the magnet room, to collect, display, and transmit vital sign data from a patient.
Privacy impact assessment for the Belvoir CH -Ft Belvoir MEDCOI is a Department of Defense (DoD) Military Health System enclave supporting the infrastructure requirements of Fort Belvoir Community Hospital (FBCH).
Privacy impact assessment for the Naval Medical Readiness Training Command (NMRTC) Lemoore MedCOI supports Defense Health Agency (DHA) Medical Treatment Facility (MTF) on the Medical Community of Interest (MedCOI) network.
Privacy impact assessment for the Fuji ASPIRE Cristalle AWS is a series of integrated FFDM combining X-Ray systems with a-SE detectors and an Acquisition Workstation (AWS). The ASPIRE Cristalle creates digital mammography images by direct capture of X-Ray using the a-SE detector.
Privacy impact assessment for the ALCOR iSED V1.X AI is an automated analyzer which reports sedimentation rate in mm/hr which is a non-specific, quantitative result.
Privacy impact assessment for the Volpara Health Mammography Reporting System AA (MRS) medical application allows hospitals to track breast center patients breast related procedures (x-rays, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), medical devices)
Privacy impact assessment for the Canon Alphenix-i Series imaging system is a digital radiography/fluoroscopy system used in a diagnostic and interventional angiography configuration.
Privacy impact assessment for the BD RapidRX is used within the pharmacy for processing and tracking of both prescription medicines and controlled substance.
Privacy impact assessment for the Beckman Coulter Inc WalkAway Plus Series offers simultaneous automation of overnight, rapid and specialty panels that test for both gram-negative and gram-positive bacteria.
Privacy impact assessment for the Edare Wireless Automated Hearing Test System is a wireless, automated headset that can be used to perform manual and automated hearing tests. It consists of two tablets, an Administrator and Test Taker, and also an audiology headset.
Privacy impact assessment for the Dentsply Sirona Inlab is a family series of devices. The Inlab family of devices includes Inlab Milling & Grinding Machine (MC X5), INLAB MC XL, INLAB PC, Profire and the inEos X5.
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