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Military Health System

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Forms & Templates

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.

Please note that files more than five years old may not be compliant with Section 508 of the Rehabilitation Act. If you need an accessible version of a particular file, please contact us and we will provide one for you.

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We found 527 items

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Form/Template
Aug 11, 2015

Coding and Compliance Editor (CCE)

.PDF | 166.39 KB

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Coding and Compliance Editor (CCE) system.

Form/Template
Jul 28, 2015

PEPR Account Activation Request Form

.PDF | 6.81 MB

This form is required for all users to complete prior to receiving access to the Patient Encounter and Reporting (PEPR) application.

Form/Template
Jul 20, 2015

RxSafe RxVault

.PDF | 61.82 KB

This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the RxSafe RxVault system.

Form/Template
Jul 20, 2015

STARS

.PDF | 58.44 KB

This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the STARS system.

Form/Template
Jul 20, 2015

Audio Metric Database System (AUDBASE) 2.3

.PDF | 61.15 KB

This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the Audio Metric Database System (AUDBASE) 2.3 system.

Form/Template
May 20, 2015

Consent Checklist

.PDF | 106.87 KB

DOD Directive 3216.02 defines research involving a human being as an experimental subject as an activity, for research purposes, where there is an intervention or interaction with a human being for the primary purpose of obtaining data regarding the effect of the intervention or interaction. Examples of interventions or interactions include, but are ...

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