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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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AFHSD Annual Report 2022

Report
11/9/2023

This annual report provides a summary of the Armed Forces Health Surveillance Division's accomplishments during 2022.

Utilization of Anesthesia Services in the Military Medical Treatment Facilities

DHA Publication

Establishes the Defense Health Agency’s procedures to provide responsibilities for the management of Military Medical Treatment Facilities Anesthesia Services.

  • Identification #: 6025.07
  • Date: 11/8/2023
  • Type: DHA-AI
  • Topics: N/A

Military Hospitals and Clinics List

Publication
11/8/2023

Downloadable PDF of all military hospitals and clinics

SelfCareSkills

Fact Sheet
11/6/2023

This 46-page patient book on diabetes includes information on healthy eating, activity, monitoring, hypoglycemia and hyperglycemia. It addresses symptoms, causes, medications, sick day management, emotional health, and traveling. Included is information on caring for the heart, kidneys, eyes, and feet as well as an action plan for healthy eating, exercise, monitoring, and medications.

Warfighter Brain Health After TBI: Guidance for Leaders

Fact Sheet
11/6/2023

This TBICoE fact sheet, Warfighter Brain Health After TBI: Guidance for Leaders, condenses the basics of recognizing, reporting, and preventing TBI in service members. It updates and supersedes the Line Leader Policy Guidance fact sheet and includes a list of what the DOD has defined as potentially concussive events and outlines leaders’ responsibilities to ensure service member readiness after a TBI.

DHA Medicare Billing Guidance Memorandum

Technical Document
11/6/2023

DHA Billing Procedures for Medicare Beneficiaries FAQ

Technical Document
11/3/2023

Attachment A Medicare Requirements for Reimbursing Emergency Services

Technical Document
11/3/2023

Medicare Requirements for Reimbursing Emergency Services

Pages 2-66 to 2-67: Yellow Fever (Adult)

Publication
11/3/2023

Errata sheet for Immunization Tool Kit Ninth Edition

Pages 3-61 to 3-62: Yellow Fever (Pediatric)

Publication
11/3/2023

Errata sheet for Immunization Tool Kit Ninth Edition

Pages 2-37 to 2-41: Pneumococcal Vaccines (Adult)

Publication
11/3/2023

Errata sheet for Immunization Tool Kit Ninth Edition

Pages 3-48 to 3-51: Pneumococcal Vaccines (Pediatric)

Publication
11/3/2023

Errata sheet for Immunization Tool Kit Ninth Edition

Standing Orders for Administering Meningococcal B Vaccine (Adult)

Publication
11/3/2023

Immunization standing orders are approved protocols that authorize appropriately trained health care personnel to assess patient immunization status and administer vaccinations without a written provider order or examination.

Standing Orders for Administering Meningococcal ACWY Vaccine (Adult)

Publication
11/3/2023

Immunization standing orders are approved protocols that authorize appropriately trained health care personnel to assess patient immunization status and administer vaccinations without a written provider order or examination.

Standing Orders for Administering Meningococcal ACWY Vaccine (Pediatric)

Publication
11/3/2023

Immunization standing orders are approved protocols that authorize appropriately trained health care personnel to assess patient immunization status and administer vaccinations without a written provider order or examination.

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Last Updated: July 11, 2023
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