Naval Medical Readiness Training Command Lemoore MedCOI
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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June 14, 2024
Kenner AHC - Fort Lee MEDCOI
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640.96 KB
Kenner Army Health Clinic - Fort Lee Medical Community of Interest privacy impact assessment.
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June 10, 2024
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636.91 KB
Leonard Wood Army Community Hospital Ft Leonard Wood Medical Community of Interest privacy impact assessment
Form/Template
June 7, 2024
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637.07 KB
US Army Aeromedical Research Laboratory Standalone Network privacy impact assessment
Form/Template
June 7, 2024
Corporate Dental System
.PDF |
657.58 KB
Corporate Dental System privacy impact assessment.
Form/Template
June 6, 2024
Kimbrough Ambulatory Care Center - Ft Meade MEDCOI
.PDF |
637.06 KB
Kimbrough Ambulatory Care Center Ft Meade Medical Community of Interest privacy impact assessment
Form/Template
June 4, 2024
Protected Health Information Management Tool PHIMT
.PDF |
760.91 KB
Privacy impact assessment for the Protected Health Information Management Tool (PHIMT) provides the Military Health System (MHS) with a web-based application that simplifies and automates many of the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule.
Form/Template
June 4, 2024
Military Health System Planning Programming Budgeting Execution Tool
.PDF |
640.25 KB
Military Health System Planning Programming Budgeting Execution Tool privacy impact assessment.
Form/Template
June 4, 2024
HealthFlow Connect
.PDF |
638.59 KB
HealthFlow Connect privacy impact assessment.
Form/Template
May 22, 2024
JOMIS Theater Blood Capability Mobile
.PDF |
650.67 KB
Joint Operational Medicine Information Systems Theater Blood Capability Mobile privacy impact assessment
Form/Template
May 20, 2024
Bayne-Jones ACH - Ft. Polk MEDCOI
.PDF |
636.60 KB
Bayne Jones Army Community Hospital Ft Polk Medical Community of Interest privacy impact assessment
Form/Template
May 20, 2024
McDonald AHC - Fort Eustis MEDCOI
.PDF |
636.34 KB
McDonald Army Health Center Fort Eustis Medical Community of Interest privacy impact assessment
Form/Template
May 20, 2024
DOD Cancer Registry
.PDF |
644.11 KB
DOD Cancer Registry Privacy Impact Assessment.
Form/Template
May 20, 2024
DHA-Enterprise SPLUNK
.PDF |
645.40 KB
DHA Enterprise SPLUNK privacy impact assessment
Form/Template
May 17, 2024
7th Medical Group Dyess Air Force Base Medical Community of Interest
.PDF |
637.05 KB
7th MDG Dyess AFB MEDCOI privacy impact assessment.
Form/Template
May 17, 2024
DynaCAD Breast and Prostate Application
.PDF |
647.01 KB
DynaCAD Breast and Prostate Application privacy impact assessment
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