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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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Protected Health Information Management Tool (PHIMT)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Protected Health Information Management Tool (PHIMT) system.

Defense Blood Standard System (DBSS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Defense Blood Standard System (DBSS) system.

United Healthcare Military & Veterans Information System

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the United Healthcare Military & Veterans Information System system.

Purchased Care Operations System (PCOS) - Patient Encounter Processing and Reporting (PEPR)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Purchased Care Operations System (PCOS) - Patient Encounter Processing and Reporting (PEPR) system.

Business Common Services/BusinessObjects XI (BCS/BOXI)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Business Common Services/BusinessObjects XI (BCS/BOXI) system.

Purchased Care Operations System (PCOS) - TRICARE Encounter Data (TED)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Purchased Care Operations System (PCOS) - TRICARE Encounter Data (TED) system.

Third Party Outpatient Collections System (TPOCS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Third Party Outpatient Collections System (TPOCS)

Patient Safety Reporting (PSR)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Patient Safety Reporting (PSR) system.

Active Directory Domain Services (AD DS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Active Directory Domain Services (AD DS) system.

Pharmacy Data Transaction Service (PDTS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Pharmacy Data Transaction Service (PDTS) system.

Nutrition Management Information System (NMIS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Nutrition Management Information System (NMIS) system.

Health Net Federal Services Information System (HNFS IS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Health Net Federal Services Information System (HNFS IS) system.

Humana Military Healthcare Services Automated Information System (HMHS AIS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Humana Military Healthcare Services Automated Information System (HMHS AIS) system.

Health Artifact and Imaging Management Solution (HAIMS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Health Artifact and Imaging Management Solution (HAIMS) system.

Clinical Information System (CIS)/Essentris ©

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Clinical Information System (CIS)/Essentris © system.

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Last Updated: July 19, 2022
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