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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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- 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
Interagency Comprehensive Plan for Care Coordination Support
Surveillance Management and Reporting Tool
DHA Appointing Portal
Medical Department Activity-Bavaria
Soldier Performance Health and Readiness
Enterprise Mobile Platform of Innovation Ready Environments
8th MDG Kunsan AB MEDCOI
45th MDG Patrick AFB MEDCOI
Centralized Credentials and Quality Assurance System
Popular Forms & Templates
DHA-GL Worksheet 02: Pre-Authorization Request
Neurobehavioral Symptom Inventory Form
Interagency Comprehensive Plan for Care Coordination Support
Patient Global Impression Change Scale
DHA-GL Worksheet 01: Medical Eligibility Verification
Medical Readiness Decision Support System (MRDSS)
18th MDG Kadena AB MEDCOI
Financial Management Information System
Limited Duty Sailor and Marine Readiness Tracker MHS Application Access Gateways
TBI Caregiver Support Forms
We found 483 items
DHA.mil Website
DHA.mil is the official website of the Defense Health Agency. It's designed to showcase the work and legacy of the agency with a consistent brand and tone, straightforward navigation, and engaging imagery while providing timely and relevant information.
Med365 SharePoint Online
MED365 SPO is a web-based collaborative platform that offers many new features in support of over 200,000 medical support staff, including enhanced security options tailored to administrative practices.
Aeromedical Services Information Management System
ASIMS is a web-based application that allows senior U.S. Air Force leaders, commanders, active duty, Air National Guard, and Air Force Reserve members to monitor force health and mission readiness in non-deployed and deployed settings.
Enterprise Patient Queuing and Notification System
ePQNS collects data on patients to facilitate a patient-centered workflow, improve wait times and services, and enhance the patient appointment process.
Veterinary Service Information Management System
VSIMS is a Tri-Service application supporting the Department of Defense’s food safety operations and inspections, veterinary public health, and operational missions. VSIMS ensures the United States Armed Forces and their families receive the safest food and water available at over 700 U.S. military bases and deployed locations around the world.
Navy Medicine Online (NMO)
NMO manages the reporting of individual medical and dental information for United States Navy personnel, which includes military, civilians, contractors, and commanders.
Enterprise Clinical Voice Communications
ECVC is a staff communications tool used to improve staff interactions and enhance patient care. It allows individual providers, nurses, and groups within specific teams to contact each other through touch free calling.
Composite Health Care System
The Composite Health Care System allows clinicians to electronically perform patient appointment processes and scheduling, order laboratory tests, authorize radiology procedures and prescribe medications.
AHLTA Web Print
AWP is an application embedded in the AHLTA client workstation that provides the ability to print a patient’s entire AHLTA medical record or a subset, eliminating the need to print each AHLTA encounter or result separately.
Assistance Reporting Tool
The Assistance Reporting Tool is a secure web-based system that captures authorizations and feedback on TRICARE related benefits.
Enterprise Blood Management System - Donor
EBMS-D allows users to efficiently manage and track donor information, eligibility status, product testing, product history and manufacturing in one view reducing the potential for errors, redundancy, streamlining communications and making it easier to manage deferrals and determine eligibility of donors.
Veterinary Services Systems Management
The VSSM software application provides automated support in veterinary health records, financials, inventory, and scheduling management for government-owned animals and privately owned animals of active military and retired service members.
Solution Delivery Division Fact Sheet
The Solution Delivery Division is a leading provider of information, technology, simulation, and acquisition program management for the Defense Health Agency. It supports the Agency’s mission to improve health and build readiness by fostering innovation, applying proven business practices, and employing an acquisition-trained workforce to drive ...
Internal Medicine App
The Internal Medicine mobile application is a collection of clinical practice guidelines, guides, and standard operating procedures intended to give clinicians at military hospitals and clinics easy access to information from their mobile device.
Inside DHA (Enterprise SharePoint)
Inside DHA is the official information and message center for the Defense Health Agency Director and agency leadership. The site is a dynamic and multi-functional CAC-enabled tool for managing information and for sharing ideas and content across the DHA enterprise.
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.
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