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.

Having problems downloading a Form?

If you’re getting an error message when downloading a form, then try:

Updating your Adobe Acrobat or Adobe Reader.
Downloading the file using Microsoft Edge. Chrome, Firefox, and other browsers no longer support opening PDFs.

If that doesn’t work, right-click on the form you’re trying to download and select “save-as” to save the form to your computer.

Recent Forms & Templates

Bio-Rad Variant II Hemoglobin Testing System Series v5.x A&I

Nihon Kohden Family of EEG Neurology & Sleep Devices V.12.x_A&A

MHS GENESIS Electronic Health Record

Medtronic EndoFlip 300 System Series v3.x A&I

Pharmacy Outpatient Automation Solution - iA

Siemens Somatom Somaris VB10X_A&I

Abbott i-STAT1 v1.x_A&I

Werfen ACL TOP Coagulation Analyzer v6.X A&I

Tripler AMC MEDCOI

Abbott GLP Systems Track v3.x_A&A

Popular Forms & Templates

Neurobehavioral Symptom Inventory Form

DHA-GL Worksheet 02: Pre-Authorization Request

DHA-GL Worksheet 01: Medical Eligibility Verification

Medical Readiness Decision Support System (MRDSS)

Patient Global Impression Change Scale

Financial Management Information System

MHS Service Help Desk

Limited Duty Sailor and Marine Readiness Tracker MHS Application Access Gateways

Siemens Somatom Somaris VB10X_A&I

VA/DOD Clinical Practice Guideline for Tinnitus

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FAQ

Aug. 25, 2026

Virtual Health: Insurance

Virtual health, telehealth, and telemedicine all mean the same thing. These terms describe a patient using technology (computer, smartphone, or tablet, for example) to access their health care.

FAQ

Aug. 25, 2026

Virtual Health: Appointment Guidance

Virtual health, telehealth, and telemedicine all mean the same thing. These terms describe a patient using technology (computer, smartphone, or tablet, for example) to access their health care.

FAQ

Aug. 25, 2026

Virtual Health: Privacy and Safety

Virtual health, telehealth, and telemedicine all mean the same thing. These terms describe a patientusing technology (computer, smartphone, or tablet, for example) to access their health care.

FAQ

Aug. 25, 2026