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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 348 items

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DHA Publication
Sep 6, 2023

DHA-PM: #6430.03, Medical Logistics Materiel Quality Procedures

.PDF | 658.64 KB
Establishes processes to receive, disseminate, adjudicate, and report Hazard Alert and Recall messages and Product Quality Deficiency Reports for medical/dental materiel found to be defective, unsafe, or otherwise unsatisfactory for use within the MHS.
  • Identification #: 6430.03
  • Type: DHA-PM
DHA Publication
Aug 17, 2023

DHA-AI: #1402.02, Merit Promotion and Placement Plan, Change 1

.PDF | 311.11 KB
Establishes DHA's policies, responsibilities, and procedures for the selection of employees covered by merit promotion and in-service placement. Incorporating Change 1, Aug. 17, 2023.
  • Identification #: 1402.02
  • Type: DHA-AI
DHA Publication
Aug 10, 2023

DHA-PI: #6310.01, Healthcare Management of Patients Associated with Interpersonal Violence and the Department of Defense Forensic Healthcare Program

.PDF | 463.65 KB
Establishes DHA's procedures to achieve a patient-centered, trauma-informed health care response when: a patient discloses interpersonal violence such as sexual assault, domestic violence, intimate partner violence, child abuse and neglect, or other acts of unwanted violence (excluding combat injuries).
  • Identification #: 6310.01
  • Type: DHA-PI
DHA Publication
Jul 27, 2023

DHA-AI: #6025.02, Advance Directives

.PDF | 348.50 KB
Establishes DHA's procedures on providing patient educational materials and administrative filing of the advance directive medical legal correspondence into the DOD Health Record at military medical treatment facilities.
  • Identification #: 6025.02
  • Type: DHA-AI
DHA Publication
Jul 12, 2023

DHA-AI: #5210.01, Physical Security Program

.PDF | 446.57 KB
Establishes DHA's procedures for the implementation of an agency-wide Physical Security Program.
  • Identification #: 5210.01
  • Type: DHA-AI
DHA Publication
Jun 27, 2023

DHA-PM: #6430.08, Joint Deployment Formulary

.PDF | 209.52 KB
Establishes DHA's procedures to provide guidance for the utilization of the Joint Deployment Formulary.
  • Identification #: 6430.08
  • Type: DHA-PM
DHA Publication
Jun 12, 2023

DHA-IPM: #23-002, Training Agreements

.PDF | 179.71 KB
Establishes the Defense Health Agency’s procedures to enter into training agreements with partner organizations for clinical (or clinically-related) training involving health care delivery.
  • Identification #: 23-002
  • Type: DHA-IPM
DHA Publication
May 17, 2023

DHA-AI: #6025.20, Code Purple for Obstetric and Neonatal Emergencies

.PDF | 442.87 KB
Establishes DHA's procedures to standardize the emergency code, Code Purple, for obstetric and neonatal emergencies. These emergencies could be maternal, neonatal or include both birth parent and neonate.
  • Identification #: 6025.20
  • Type: DHA-AI
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