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Military Health System

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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 two 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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De Identification Plan Template May 2023

Form/Template
5/31/2023

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.

DHA DRT Quick Reference Guide

Form/Template
5/31/2023

Revised DSA Form - DSA Data Requests Templates Quick Reference Guide

AFMES Form 7: AFDIL Casework Request

Form/Template
5/23/2023

Armed Forces Medical Examiner System form 7 - Armed Forces DNA Identification Laboratory Casework Request.

AFMES Form 44: DFT Client Feedback Survey

Form/Template
5/23/2023

AFMES Form 44 Division of Forensic Toxicology Client Feedback Survey.

AFMES Form 42-R: Evidence Chain of Custody

Form/Template
5/23/2023

Armed Forces Medical Examiner System Form 42-R, Evidence Chain of Custody.

72ND MDG TINKER AFB MEDCOI 508 COMPLIANT

Form/Template
5/17/2023

Privacy Impact Assessment, 72nd Medical Group (MDG) Tinker Air Force Base (AFB) Medical Community of Interest (MEDCOI).

CIS MIL Enclave PIA

Form/Template
5/17/2023

Privacy Impact Assessment, Clinical Information System (CIS) -.mil Enclave.

81st MDG Keesler AFB MEDCOI

Form/Template
5/17/2023

Privacy Impact Assessment, 81st Medical Group (MDG) Keesler Air Force Base (AFB) Medical Community of Interest (MEDCOI).

66th MDG Hanscom AFB MEDCOI

Form/Template
5/17/2023

Privacy Impact Assessment 66th MDG Hanscom AFB MEDCOI.

Automated Information Discovery Environment Medical Common Operating Picture (AIDE MedCOP)

Form/Template
5/17/2023

Privacy Impact Assessment, Automated Information Discovery Environment Medical Common Operating Picture (AIDE MedCOP).

DRAEGER INFINITY DELTA SERIES

Form/Template
5/17/2023

Privacy Impact Assessment, Draeger Infinity Delta Series AI.

Naval Health Clinic Annapolis MEDCOI Privacy Impact Assessment

Form/Template
5/17/2023

Naval Health Clinic Annapolis MEDCOI Privacy Impact Assessment, March 2023.

Imagine Dental Workstation WIN10 AI Privacy Impact Assessment

Form/Template
5/17/2023

Imagine Dental Workstation WIN10 AI Privacy Impact Assessment, March 2023.

Enterprise Clinical Audiology Application Privacy Impact Assessment

Form/Template
5/17/2023

Enterprise Clinical Audiology Application Privacy Impact Assessment, March 2023.

Defense Medical Accessions Computing System Privacy Impact Assessment

Form/Template
5/17/2023

Defense Medical Accessions Computing System Privacy Impact Assessment, March 2023.

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Last Updated: July 19, 2022
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