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MHS GENESIS Clipboard Eases Check-in, Increases Communication
As MHS GENESIS continues to deploy across the Military Health System, new capabilities are added to the electronic health record system to enhance the patient and provider experience. Patients can provide medical information or share ...
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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Temperature log for refrigerators storing vaccines, with form for recording vaccine storage troubleshooting.
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Temperature log for freezers storing vaccines, with form for recording vaccine storage troubleshooting.
The purpose of this form is to determine if the COVID-19 vaccine can be administered to the patient. (v23, Oct. 2022)
Instructor CME Disclosure form
The RRT asks researchers whether they intend to put data into a repository, and if yes, what data and under what governance terms.
Fillable student enrollment form for EWSC registration.
Student/nominee JOP course request form.
This Section addresses the Contractor’s requirements under The Privacy Act of 1974 (Privacy Act), The Freedom of Information Act (FOIA), and The Health Insurance Privacy and Accountability Act (HIPAA) as set forth in applicable statutes, implementing regulations and DOD issuances.
The HIPAA Safeguard Review of Non-Federal Systems (HSR) is used when data obtained through a DSAA will be stored, transmitted, processed, or otherwise maintained on a non-federal information system.
Dental Common Access System (DENCAS)
Military Health System Data Repository (MDR) Special Justification Form. MDR Users will use this to request access to special tables in the MDR.
A screening checklist for contraindications to vaccines for adults.
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.