AGFA NX Family of Systems (CR/DR) vNX27_A&I
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.
Looking for an official Defense Health Agency Form?
- Please visit the DHA Forms Management page on Inside DHA. CAC authentication is required.
- If you have questions, please send an email to the DHA Forms Management Office.
Having problems downloading a Form?
If you’re getting an error message when downloading a form, then try:
- Updating your Adobe Acrobat or Adobe Reader.
- Downloading the file using Microsoft Edge. Chrome, Firefox, and other browsers no longer support opening PDFs.
If that doesn’t work, right-click on the form you’re trying to download and select “save-as” to save the form to your computer.
Recent Forms & Templates
Image Management Systems Dental Imaging and Infrastructure
NeoLight Phoenix ICON v1.x_A&I
Reynolds AHC - Ft Sill MEDCOI
Vance MDG MEDCOI
Bio-Rad Variant II Hemoglobin Testing System Series v5.x A&I
Nihon Kohden Family of EEG Neurology & Sleep Devices V.12.x_A&A
Medtronic EndoFlip 300 System Series v3.x A&I
MHS GENESIS Electronic Health Record
Pharmacy Outpatient Automation Solution - iA
Popular Forms & Templates
Neurobehavioral Symptom Inventory Form
DHA-GL Worksheet 02: Pre-Authorization Request
DHA-GL Worksheet 01: Medical Eligibility Verification
Medical Readiness Decision Support System (MRDSS)
Patient Global Impression Change Scale
MHS Service Help Desk
Financial Management Information System
Siemens Somatom Somaris VB10X_A&I
MHS GENESIS Electronic Health Record
Limited Duty Sailor and Marine Readiness Tracker MHS Application Access Gateways
Form/Template
Aug. 21, 2026
Johnson Controls CCure 9000 Security and Event Management V3.x A&I
.PDF |
456.32 KB
Johnson Controls CCure 9000 Security and Event Management V3.x A&I privacy impact assessment
Form/Template
Aug. 17, 2026
Navy Medicine Operational Training Command MedCOI
.PDF |
454.31 KB
Navy Medicine Operational Training Command Medical Community of Interest privacy impact assessment
Form/Template
Aug. 17, 2026
Naval Medical Research Center MEDCOI
.PDF |
455.99 KB
Naval Medical Research Center Medical Community of Interest privacy impact assessment
Form/Template
Aug. 17, 2026
API Security and Integrations
.PDF |
458.63 KB
API Security and Integrations privacy impact assessment
Form/Template
Aug. 4, 2026
Zero Trust Architecture Framework Environment 2.0
.PDF |
457.57 KB
Zero Trust Architecture Framework Environment 2.0 privacy impact assessment
Form/Template
Aug. 4, 2026
Naval Medical Readiness Training Command Lemoore MedCOI
.PDF |
453.36 KB
Naval Medical Readiness Training Command Lemoore Medical Community of Interest privacy impact assessment
Form/Template
July 29, 2026
42nd MDG Maxwell AFB MEDCOI
.PDF |
453.18 KB
42nd Medical Group Maxwell Air Force Base Medical Community of Interest privacy impact assessment
Form/Template
July 29, 2026
Navy Medical Center San Diego MEDCOI
.PDF |
449.07 KB
Navy Medical Center San Diego Medical Community of Interest privacy impact assessment
Form/Template
July 28, 2026
Naval Health Clinic Hawaii MedCOI
.PDF |
453.41 KB
Naval Health Clinic Hawaii Medical Community of Interest privacy impact assessment
Form/Template
July 21, 2026
377th MDG Kirtland AFB MEDCOI
.PDF |
453.90 KB
377th MDG Kirtland Air Force Base Medical Community of Interest privacy impact assessment
Form/Template
July 16, 2026
Neuronetics NeuroStar Advanced Therapy System
.PDF |
458.12 KB
Neuronetics NeuroStar Advanced Therapy System privacy impact assessment
Form/Template
July 16, 2026
Carl Zeiss FORUM 4 Picture Archiving and Communication System A&A
.PDF |
455.51 KB
Carl Zeiss FORUM 4 Picture Archiving and Communication System A&A privacy impact assessment
Form/Template
July 13, 2026
Landstuhl Regional Medical Center Enclave/MEDCOI
.PDF |
456.25 KB
Landstuhl Regional Medical Center Enclave/Medical Community of Interest privacy impact assessment
Form/Template
July 13, 2026
Enterprise Noah
.PDF |
465.94 KB
Enterprise Noah privacy impact assessment
Form/Template
July 13, 2026
Varian Radiation Oncology System
.PDF |
460.65 KB
Varian Radiation Oncology System privacy impact assessment
Page 3 of 43, showing items 31 - 45
You are leaving Health.mil
The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.
You are leaving Health.mil View the external links disclaimer.