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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 484 items

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Fact Sheet
Sept. 27, 2018

Conflict Resolution

.PDF | 312.09 KB

A fact sheet describing the strategies that can help vetrans communicate with families and friends while facing the challenges of returning from deploymnent.

Fact Sheet
Aug. 21, 2018

Proposed Health Care Clinical Attachments

.PDF | 78.01 KB

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 (Section 1173(a)(2)(B)) identified electronic “Health Care Claims Attachments” as a transaction for which a standard was to be adopted. A proposed rule was published in 2005, but a final rule was never published due to questions about the maturity of the standards being ...

Fact Sheet
Nov. 17, 2017

MHS VLER HIE eHealth Exchange Partners

.PDF | 232.31 KB

This document lists the private sector health care partners that the Military Health System can currently share information with.

Fact Sheet
Aug. 3, 2017

VHA TRAIN

.PDF | 536.61 KB

VHA TRAIN is an external learning management system to provide valuable, Veteran-focused, accredited, continuing medical education at no cost to community health care providers.

Fact Sheet
May 12, 2017

The Defense Medical Epidemiology Database System Overview Fact Sheet

.PDF | 224.93 KB

This fact sheet provides a system overview of the Defense Medical Epidemiology Database (DMED). DMED is a web-based tool to remotely query de-identified active component personnel and medical event data contained within the Defense Medical Surveillance System (DMSS). Learn about the newly released version of DMED and its key features in this document.

Fact Sheet
April 12, 2017

HIPAA Operating Rules

.PDF | 628.26 KB

The Department of Health and Human Services (HHS) establishes a single set of operating rules for each Health Insurance Portability and Accountability Act (HIPAA) transaction and promulgate rules to establish its adoption. Operating Rules affect TRICARE where it employs HIPAA electronic transactions in Private Sector Care as a Health Plan/Payer and in ...

Fact Sheet
April 12, 2017

HIPAA Electronic Funds Transfer and Remittance Advice Fact Sheet

.PDF | 629.09 KB

TRICARE Managed Care Support Contractors (MCSCs), acting as a health plan/payer, are required to accommodate and be compliant with the transactions for Health Care Electronic Funds Transfers (EFTs) and Remittance Advice (RA). These standards intended to streamline the format and data content of transmissions a health plan sends to its bank when it ...

Fact Sheet
March 30, 2017

Demographic and Military Traits of Service Members Diagnosed as Traumatic Brain Injury Cases

.PDF | 283.00 KB

This fact sheet provides details on the demographic and military traits of service members diagnosed as traumatic brain injury (TBI) cases during a 16-year surveillance period from 2001 through 2016, a total of 276,858 active component service members received first-time diagnoses of TBI - a structural alteration of the brain or physiological ...

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