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Military Health System

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Frequently Asked Questions

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Form/Template
Jul 26, 2018

PDTS Data Report Request Form

.PDF | 53.95 KB

The PDTS reports function is constantly evolving and as we continue to find new applications for the data collected by PDTS, the reports function will be modified to meet those demands.

Form/Template
May 31, 2018

DHA-GL Worksheet-02: Pre-Authorization Request

.PDF | 166.95 KB

Defense Health Agency - Great Lakes Worksheet (DAH-GL Worksheet-02) This worksheet is used to request pre-authorization for medical care for Reserve Component Members

Form/Template
May 21, 2018

TRICARE Online (TOL)

.PDF | 4.24 MB

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the TRICARE Online (TOL) system.

Form/Template
Feb 13, 2018

Program Integrity Report Request Form

.PDF | 53.95 KB

This form is designed to accommodate requests for patient, drug, provider, and pharmacy profiles. If you need assistance completing this form please call the number shown above. The PASS cannot act on any report request until the form has been approved and the requestor has agreed with the method of extract and the structure of the report.

Form/Template
Oct 27, 2017

CS SCE 2875

.PDF | 28.38 KB

Form 2875 for access to Corporate Node

Form/Template
Oct 23, 2017

PDS Troubleshooting Feedback Form

.PDF | 47.22 KB

The PDS feedback form is available to MTF pharmacy point of contacts that have questions or concerns about the new PDS project. The form includes necessary fields for the PASS team to troubleshoot.

Form/Template
Oct 4, 2017

SCE AARF

.PDF | 345.83 KB

SAS COMPUTING ENVIRONMENT (SCE) Account Authorization Request Form (AARF)

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