Special Needs Program Management Information System
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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Recent Forms & Templates
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Online Base of Information Widely Accessible over Network
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Popular Forms & Templates
DHA-GL Worksheet 02: Pre-Authorization Request
Neurobehavioral Symptom Inventory Form
Patient Global Impression Change Scale
DHA-GL Worksheet 01: Medical Eligibility Verification
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Medical Readiness Decision Support System (MRDSS)
Financial Management Information System
CS SCE 2875
DHA-GL Worksheet 03: Formal Appeal Request
Palmetto Government Benefits Administrator (PGBA)
We found 484 items
Fact Sheet
Jan. 17, 2002
Eager Belle, Phase II
.PDF |
324.83 KB
The primary purpose of the Eager Belle, Phase II test was to study the downwind travel of biological aerosols.
Fact Sheet
Jan. 17, 2002
Eager Belle, Phase 1
.PDF |
129.72 KB
The primary purpose of the Eager Belle, Phase I test was to evaluate the effectiveness of selected protective devices in preventing penetration of a naval ship by a biological aerosol.
Fact Sheet
Sept. 13, 2001
Shady Grove
.PDF |
413.85 KB
Shady Grove testing, conducted in the Pacific Ocean in 1965, was an extension of the Autumn Gold test series. The primary difference between Autumn Gold and Shady Grove is that in the latter tests actual agents were used in addition to simulants.
Fact Sheet
Sept. 13, 2001
Copper Head
.PDF |
121.21 KB
Copper Head testing was similar to Autumn Gold testing in that the test used simulants only. The primary difference between Copper Head and Autumn Gold was Copper Head was designed to use simulants to learn biological agents’ characteristics in frigid temperatures. Copper Head was conducted in international waters in the North Atlantic.
Fact Sheet
Feb. 1, 1995
The Persian Gulf Veterans Coordinating Board
.PDF |
36.51 KB
An interagency board - the Persian Gulf Veterans Coordinating Board - was established in January 1994 to work to resolve the health concerns of Persian Gulf veterans, including active duty personnel and reservists with Gulf service.
Fact Sheet
Jan. 1, 1985
DOD's Cold War-Era Chemical Testing Programs
.PDF |
16.94 KB
Veterans interested in learning more about any potential long-term health effects of DOD’s Cold War-era chemical testing programs can find three detailed reports conducted in the 1980s by the National Research Council (NRC) that are available online through National Academy Press.
Fact Sheet
Oct. 1, 1973
Test 70-50: Cancelled
.PDF |
68.88 KB
Proposed FY 74 program for studies including carry over items
Fact Sheet
Feb. 1, 1973
Deseret Test Center Outline Plans for FY 75
.PDF |
172.72 KB
Deseret Test Center Outline Plans for FY 75
Fact Sheet
Feb. 1, 1973
Deseret Test Center Outline Plans for FY 75
.PDF |
95.83 KB
Summary of test center plans for the Deseret Test Center
Fact Sheet
Feb. 1, 1973
Test 73-11: Cancelled
.PDF |
90.24 KB
Test 73-11: Cancelled
Fact Sheet
March 1, 1972
Deseret Test Center Outline Plans for FY 74
.PDF |
105.05 KB
Summary of test center plans for the Deseret Test Center
Fact Sheet
Oct. 1, 1971
Deseret Test Center Requirements and Proposed Program for FY 73
.PDF |
53.98 KB
Deseret Test Center Requirements and Proposed Program for FY 73
Fact Sheet
Aug. 1, 1971
Test 73-12-R4: Cancelled
.PDF |
50.26 KB
Test 73-12-R4: Cancelled
Fact Sheet
Aug. 1, 1971
Test 73-12-R3: Cancelled
.PDF |
58.12 KB
Test 73-12-R3: Cancelled
Fact Sheet
Aug. 1, 1971
Test 73-12: Cancelled
.PDF |
58.19 KB
Test 73-12: Cancelled
Page 32 of 33, showing items 466 - 480
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