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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Dental Common Access System (DENCAS)
A checklist to evaluate competency in administering the influenza vaccine, to include customer service, patient screening and education, and administration technique and procedures.
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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.
Unsolicited Proposal Information Supporting COVID-19
Temperature log for freezers storing vaccines, with form for recording vaccine storage troubleshooting.
Temperature log for refrigerators storing vaccines, with form for recording vaccine storage troubleshooting.
A screening checklist for contraindications to vaccines for adults.
A screening checklist for contraindications to vaccines for children and teens.
Each potential recipient of smallpox vaccine must complete this official screening form and it must be signed by a licensed health care provider prior to vaccination.
DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101
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