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To obtain medical data for determination of medical fitness for enlistment, induction, appointment and retention for applicants and members of the Armed Forces. The information will also be used for medical boards and separation of Service members from the Armed Forces.
This form is used to record DU Bioassay/Fragment Testing and Results Information
This form is to provide the Military Treatment Facility/Dental Treatment Facility/TRICARE Health Plan with a means to request the use and/or disclosure of an individual's protected health information.
This form is to provide the patient with a means to request a restriction on the use and disclosure of his/her protected health information.
The purpose of the Veterinary Services Systems Management system via the Remote Online Veterinary Record application is to record and maintain complete health care information to include treatment history and deployment status on all Government Owned Animals.
Use this form to submit your Third Party Collections Program reports.
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