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Military Health System

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Form/Template
Feb 28, 2022

Limited Duty Sailor Marine Readiness Tracker (LIMDU SMART)

.PDF | 693.63 KB

LIMDU SMART provides Navy and Marine Corps with real-time visibility of all personnel on limited duty status, capability to run reports on all aspects of Limited Duty (LIMDU) Program, and electronically manage process workflows.

Form/Template
Feb 28, 2022

3D Bio CAD 3 Shape TRIOS 3

.PDF | 657.91 KB

3D Bio CAD 3 Shape TRIOS 3 (“TRIOS 3”) Wireless Scanner captures digital images of the teeth used to design and fabricate dental appliances.

Form/Template
Oct 29, 2021

DHA Form 31: Reasonable Accommodation Request

.PDF | 36.27 KB

DHA Form 31 will be used by DHA personnel to request reasonable accommodations for health, medical, and disability needs, and to document the action taken in response to their requests.

Form/Template
Oct 29, 2021

DHA Form 46: Sign Language Interpreter Request

.PDF | 38.00 KB

The DHA Form 46 is used to document a patient’s surgical care and ensure that care adhered to the Military Health System’s surgical and procedural safety protocols.

Form/Template
Aug 1, 2021

DD Form 3042

This form is used to periodically assess the health and well-being of active duty and reserve military servicemembers regarding force health readiness and servicemembers' suitability for deployment.

Form/Template
Nov 24, 2020

JOP Nomination Form

.PDF | 182.64 KB

Student/nominee JOP course request form.

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