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PSP Materials Account Registration Form

Form/Template
9/7/2021

Account registration form for PSP Education Materials Online Ordering System

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Order Patient Safety Materials

Initial/Annual Competency Assessment Checklist: Influenza Vaccine Administration

Form/Template
8/19/2021

A checklist to evaluate competency in administering the influenza vaccine, to include customer service, patient screening and education, and administration technique and procedures.

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Influenza, Northern Hemisphere

TCCC ASM Student Registration v2

Form/Template
8/17/2021

Defense Medical Readiness Training Institute (DMRTI) TC3 ASM Course Manager Student Enrollment Form

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Combat Support | Defense Medical Readiness Training Institute | Tactical Combat Casualty Care Course (TCCC)

Offsite Clinic Vaccine Inventory Issue Return Receipt and Temp Log Fahrenheit

Form/Template
8/4/2021

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.

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Vaccine Storage and Handling

Offsite Clinic Vaccine Inventory Issue Return Receipt and Temp Log Celsius

Form/Template
8/4/2021

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.

Recommended Content:

Vaccine Storage and Handling

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

Form/Template
8/4/2021

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.

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Vaccine Storage and Handling

DHA Form 116: Pediatric and Adult Influenza Screening and Immunization Documentation

Form/Template
7/1/2021

A form for screening both children and adults for contraindications to receiving influenza vaccine.

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Immunizations

TBI Caregiver Support Forms

Form/Template
6/29/2021

This is a fillable and printer-friendly version of the forms available in the "Traumatic Brain Injury: A Guide for Caregivers of Service Members and Veterans."

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Traumatic Brain Injury | Traumatic Brain Injury Center of Excellence | Patient and Family Resources

Forensic Toxicology Analysis Request

Form/Template
6/14/2021

Use this form to obtain information/specimens needed to evaluate and document forensic toxicological testing.

AFMES Form 25: Histology Request and Specimen Storage

Form/Template
6/10/2021

Use this form to obtain information/specimens needed for histology tissue processing and/or specimen storage.

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Armed Forces Medical Examiner System | Forensic Pathology Investigations (FPI) | Repository of Specimen Samples for the Identification of Remains | DNA Identification Laboratory

AFMES Form 3: Autopsy Request

Form/Template
6/9/2021

Use this form to request for an autopsy report and supplemental information

Request for Autopsy Report and Supplemental Information

Form/Template
6/9/2021

Use this form to obtain records/reports/photos of remains by persons legally authorized access to this information.

TCCC ASM CM Student Registration Form

Form/Template
4/7/2021

Students must complete this form to register for the course. All forms are emailed to the DMRTI TCCC Section for processing.

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Combat Support | Defense Medical Readiness Training Institute | DMRTI Course Information | Tactical Combat Casualty Care Course (TCCC)

Refrigerator Temperature Log - Fahrenheit

Form/Template
3/25/2021

Temperature log for refrigerators storing vaccines, with form for recording vaccine storage troubleshooting.

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Vaccine Storage and Handling

Freezer Temperature Log - Celsius

Form/Template
3/25/2021

Temperature log for freezers storing vaccines, with form for recording vaccine storage troubleshooting.

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Vaccine Storage and Handling
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