Oct
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U.S. Military Departments Implement Brandon Act to Improve Mental Health Support
Brandon Act improves the process for service members seeking mental health support.
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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.
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A form for screening both children and adults for contraindications to receiving influenza vaccine. (v5, August 2023)
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When transporting vaccine off-site, you must log their storage temperature every hour to ensure they are kept at the required temperature range for the duration of the event.
Provides guidance on how to maintain vaccine storage requirements during an emergency.
TSMP collectively refers to: vaccines, some pharmaceuticals, temperature sensitive laboratory supplies, and other temperature sensitive medical items.
340b Verification Form to be completed by the manufacturer and pharmacy for any 340b claim disputes.
Revised DSA Form - DSA Data Requests Templates Quick Reference Guide
Use this updated template to provide the de-identification process to be used for your project. The plan should show how MHS sensitive data elements (or quasi-identifiers) will be de-identified as well as how the 18 HIPAA identifiers will be handled.
Armed Forces Medical Examiner System Form 42-R, Evidence Chain of Custody.
AFMES Form 44 Division of Forensic Toxicology Client Feedback Survey.
Armed Forces Medical Examiner System form 7 - Armed Forces DNA Identification Laboratory Casework Request.
Privacy Impact Assessment, 81st Medical Group (MDG) Keesler Air Force Base (AFB) Medical Community of Interest (MEDCOI).
Privacy Impact Assessment, 72nd Medical Group (MDG) Tinker Air Force Base (AFB) Medical Community of Interest (MEDCOI).
Privacy Impact Assessment 66th MDG Hanscom AFB MEDCOI.
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