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Reference Center

Here you will find products from across the Military Health System. Select from the list  in the left navigation or use the advanced search:

Are you looking for DHA Publications? All publications are available on DHA SharePoint (CAC required).

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Form/Template
Nov. 20, 2019

EACE Data Request Form

.PDF | 184.74 KB

Form for users to fill out to request information/data from EACE

Form/Template
Nov. 14, 2019

DHA-GL Worksheet : Discharge Summary

.PDF | 365.17 KB

Used to collect information from Military Health System beneficiaries in order to determine their eligibility for coverage under the TRICARE Program.

Form/Template
Aug. 29, 2019

DHA-GL: How to Submit Discharge Summary notification

.PDF | 481.03 KB

This process guides references how to submit Discharge Summary notification from Inpatient or Outpatient Medical Care at a VA Facility under DOD/VA Memorandum of Agreement (MOA) for Active Duty Service Members with SCI, TBI and/or Blind Diagnoses to Defense Health Agency Great Lakes DHA-GL.

Form/Template
Aug. 29, 2019

DHA-GL: How to Submit Request for Durable Medical Equipment Pre-Authorization

.PDF | 482.91 KB

This process guides references how to submit Request for Durable Medical Equipment for Pre- Authorization of Inpatient or Outpatient Medical Care at a VA Facility under DOD/VA Memorandum of Agreement (MOA) for Active Duty Service Members with SCI, TBI and/or Blind Diagnoses to Defense Health Agency Great Lakes DHA-GL.

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