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.
Looking for an official Defense Health Agency Form?
- Please visit the DHA Forms Management page on Inside DHA. CAC authentication is required.
- If you have questions, please send an email to the DHA Forms Management Office.
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Recent Forms & Templates
35th MDG Misawa AB MEDCOI
Online Base of Information Widely Accessible over Network
MHS GENESIS OC3 Electronic Health Record CORE
Navy Medicine Enterprise Web Services
Keller ACH - West Point MEDCOI
Nutrition Management Information System
Automated Neuropsychological Assessment Metrics Military Performance Database
Anatomic Pathology Laboratory Information System
375th MDG Scott AFB MEDCOI
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
Limited Duty Sailor and Marine Readiness Tracker MHS Application Access Gateways
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
Virtual Education Center
VEC is Software-as-a-Service platform that provides standardized patient education content to beneficiaries. The application extends the ability to engage millions of beneficiaries and effectively and efficiently promotes the Defense Health Agency goals of improved health and military readiness.
Asthma Self Management Skills
Clinical Support Tool for Clinical Practice Guideline for Asthma: Asthma Self- Management Skills.
Asthma Action Plan
Clinical Support Tool for Clinical Practice Guideline for Asthma: Asthma Action Plan
Inhalers Anatomy and Pharmacology
Clinical Support Tool for Clinical Practice Guideline for Asthma: Inhalers Anatomy and Pharmacology
DHA MedCard App
The MedCard app allows Defense Health Agency pharmacies to capture and verify the validation dates of third party payers for Department of Defense beneficiaries. Additionally, the app provides the user a way to capture information on themselves and family members that may be helpful when interacting with a pharmacist.
Tactical Breather App
Tactical Breather can be used to control physiological and psychological responses to stress. Through repetitive practice and training, anyone can learn to gain control of their heart rate, emotions, concentration and other responses during stressful situations.
Robotic Process Automation Brochure
Robotic Process Automation utilizes software to imitate human actions in order to manage high-volume, rule-based, and repetitive tasks. Entire end-to-end processes can be performed by software robots with very little human interaction.
Breathe2Relax App
Initially designed for the military community but beneficial for use by anyone, the relaxation app trains you on the “belly breathing” technique that has proven benefits for your overall mental health. Use the app’s breathing exercises to learn and practice the breathing technique on your own or as part of a stress management program supervised by ...
Provider Resilience App
Provider Resilience gives health care providers tools to guard against burnout and compassion fatigue as they help service members, veterans, and their families.
Pain and Opioid Safety App
Opioid Safety provides information to both the users of opioids and those that prescribe them. This application (app) allows patients to track their pain levels between appointments so they can discuss it with their physician. The app includes information and answers to common questions for patients using opioids as well as Clinical Practice ...
DreamEZ App
The Dream EZ app uses principles from Imagery Rehearsal Therapy to help users manage their nightmares by making them diminish in intensity and frequency. These techniques help users get a better night’s sleep.
Centralized Credentials Quality Assurance System
CCQAS is a web-based worldwide credentialing, privileging, risk management and adverse actions application that supports more than 105,000 professionals providing health and wellness services to active duty military personnel, their families and selected retirees.
Defense Occupational and Environmental Health Readiness System – Hearing Conservation
The Defense Occupational and Environmental Health Readiness System – Hearing Conservation is an information system designed to support personal auditory readiness and help prevent hearing loss through early detection.
Electronic Institutional Review Board
EIRB is a central, web-based application used to manage the lifecycle research, review, and oversight processes for Department of Defense research as well as unique DOD review needs.
Protected Health Information Management Tool
PHIMT is an enterprise workflow and compliance system used across DHA facilities as the primary system for processing, managing, reporting, and tracking of Protected Health Information provisions and guidelines, and a host of legal requirements related to the Health Insurance Portability and Accountability Act Privacy Act.
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