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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 two 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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Department of Defense Report on Cardiac and Kidney Issues in Service Members Prior to and Following the COVID Vaccine Requirement

Report
9/29/2023

H.R 7900, HASC Report for FY 2023, 117-397, Pg. 186

Anxiety

FAQs
9/28/2023

Questions and answers about anxiety

Offsite Clinic Vaccine Inventory Issue Return Receipt and Temp Log Fahrenheit

Form/Template
9/28/2023

When transporting vaccine off-site, you must log their storage temperature every hour to ensure they are kept at the required temperature range for the duration of the event.

Offsite Clinic FROZEN Vaccine Inventory Issue Return Receipt and Temp Log Celsius

Form/Template
9/28/2023

When transporting vaccine off-site, you must log their storage temperature every hour to ensure they are kept at the required temperature range for the duration of the event.

Offsite Clinic Vaccine Inventory Issue Return Receipt and Temp Log Celsius

Form/Template
9/28/2023

When transporting vaccine off-site, you must log their storage temperature every hour to ensure they are kept at the required temperature range for the duration of the event.

Policy Memorandum: 2024 Premium Rates for TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care Benefit Program

Policy

This policy memorandum establishes the 2024 premium rates for TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care Benefit Program.

Industry for PT Minutes

Meeting Reference
9/27/2023

DHA UBO Webinar Posttest: RevCycle Edit Failures Work Queues

Presentation
9/27/2023

DHA UBO Webinar: Revenue Cycle Edit Failures Work Queue

Presentation
9/27/2023

DHA UBO Webinar Revenue CYcle Edit Failures Work Queue - August 2023

MDR Data Dictionary

Technical Document
9/27/2023

The MDR Data Dictionary contains information on datasets and data elements in the MDR. Appendices contain additional information related to fields in the MDR.

M2 Alerts

Technical Document
9/27/2023

M2 Alerts contain Open Blasters (unresolved issues), Closed Blasters (resolved issues or pertinent information), and Data Issues (pertinent information).

M2 Data Dictionary

Technical Document
9/27/2023

The M2 Data Dictionary contains information on object classes and objects in the M2. Appendices contain additional information related to fields in the MDR.

MDR Alerts

Technical Document
9/27/2023

MDR Alerts contain Open Blasters (unresolved issues), Closed Blasters (resolved issues or pertinent information), and Data Issues (pertinent information).

Multidose vaccine vials and beyond-use dates

Publication
9/26/2023

A summary of vaccines supplied in multidose vials and their beyond-use dates.

OMNIBUS IV Lunch and Learn

Presentation
9/25/2023

Presentation describing the OMNIBUS IV program.

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Last Updated: July 11, 2023
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