Navy Medicine Operational Training Command 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.
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
Naval Medical Research Center MEDCOI
API Security and Integrations
Naval Medical Readiness Training Command Lemoore MedCOI
Zero Trust Architecture Framework Environment 2.0
42nd MDG Maxwell AFB MEDCOI
Navy Medical Center San Diego MEDCOI
Naval Health Clinic Hawaii MedCOI
377th MDG Kirtland AFB MEDCOI
Neuronetics NeuroStar Advanced Therapy System
Popular Forms & Templates
Neurobehavioral Symptom Inventory Form
DHA-GL Worksheet 02: Pre-Authorization Request
Medical Readiness Decision Support System (MRDSS)
DHA-GL Worksheet 01: Medical Eligibility Verification
Patient Global Impression Change Scale
Research Repository Template
MHS Service Help Desk
De Identification Plan Template May 2023
42nd MDG Maxwell AFB MEDCOI
DHA Form 177: Potentially Compromised Temperature Sensitive Medical Report Worksheet
We found 74 items
Virtual Health: Technical 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.
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.
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.
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.
Fraud and Abuse
View questions and answers about health care fraud and abuse.
Anxiety
Questions and answers about anxiety
Third Party Collection Program
Questions and answers about third party collections and using other health insurance.
Frequently Asked Questions for Identifiers
View questions and answers about the nationwide standards for identifiers used in HIPAA compliant electronic health care transactions.
Prescription Drug Monitoring Program FAQs
Prescription Drug Monitoring Program FAQs
Reserve Health Readiness Program: Unit POC
View questions and answers about the Reserve Health Readiness Program (RHRP) targeted to Unit POCs:
Targeted Care
FAQs about Targeted Care
Separation Health Assessment
Questions and answers about the Separation Health Assessment
Research Streamlining Initiative FAQs
Research Streamlining Initiative Q & A
Individual Longitudinal Exposure Record
The Individual Longitudinal Exposure Record is a secure system linking documented occupational and environmental exposure information from your military service, including training, deployments, and duty assignments. It's important to know your exposure story.
The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.
You are leaving Health.mil View the external links disclaimer.