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.

Looking for an official Defense Health Agency Form?

Please visit the DHA Forms Management webpage on Inside DHA. CAC authentication is required.
If you have questions, please send an email to the DHA Forms Management Office.

Having problems downloading a Form?

If you’re getting an error message when downloading a form, then try:

Updating your Adobe Acrobat or Adobe Reader.
Downloading the file using Microsoft Edge. Chrome, Firefox, and other browsers no longer support opening PDFs.

If that doesn’t work, right-click on the form you’re trying to download and select “save-as” to save the form to your computer.

Recent Forms & Templates

Role of Debt Collection Assistance Officer Notice DOD Birth and Infant Health Research Program Naval Hospital Jacksonville MEDCOI Navy Medicine Online US Army Medical Materiel Development Activity Local Area Network Air Force Medical Readiness Agency MedCOI Armed Forces Billing And Collection Utilization Solution - Amazon Web Services DD3111: Routine Immunization Screening Form (Adult) Offsite Clinic Vaccine Inventory Issue Return Receipt and Temp Log Celsius Offsite Clinic FROZEN Vaccine Inventory Issue Return Receipt and Temp Log Celsius

Popular Forms & Templates

Neurobehavioral Symptom Inventory Form DHA-GL Worksheet 02: Pre-Authorization Request DHA Form 31: Reasonable Accommodation Request Patient Global Impression Change Scale DD3111: Routine Immunization Screening Form (Adult) Participation in the Joint Health Information Exchange by Non-Active-Duty Healthcare Beneficiaries DHA-GL Worksheet 01: Medical Eligibility Verification Medical Readiness Decision Support System (MRDSS) DHA Form 116: Pediatric and Adult Influenza Screening and Immunization Documentation DHA Form 303: Refrigerator Temperature Log - Celsius

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