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Forms & Templates

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.

Please note that files more than five years old may not be compliant with Section 508 of the Rehabilitation Act. If you need an accessible version of a particular file, please contact us and we will provide one for you.

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We found 484 items

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Fact Sheet
Dec. 1, 2024

DOD Firefighter Perfluoroalkyl and Polyfluoroalkyl Substances Fact Sheet

.PDF | 156.07 KB

Blood PFAS testing is offered to current DOD firefighters during their annual occupational medicine examination, to newly hired DOD firefighters in order to establish a baseline blood PFAS level in firefighters, and to other DOD personnel who perform firefighting duties as part of their job assignment. Each firefighter may accept or decline the test ...

Fact Sheet
Dec. 1, 2024

DOD Occupational Medicine Provider Perfluoroalkyl and Polyfluoroalkyl Substances Fact Sheet

.PDF | 163.99 KB

Blood PFAS testing is offered to current DOD firefighters during their annual occupational medicine examination, to newly hired DoD firefighters in order to establish a baseline blood PFAS level in firefighters, and to other DOD personnel who perform firefighting duties as part of their job assignment. Each firefighter may accept or decline the test ...

Fact Sheet
Nov. 26, 2024

HPD Fit Test Fact Sheet

.PDF | 330.10 KB

Hearing protector fit testing is a procedure used to quantitively measure the amount of noise reduction a specific hearing protector is providing a user. Fit testing measures the personal attenuation rating (PAR) specific to each individual ear and hearing protector. The PAR is a real-world measurement of the overall attenuation the hearing protector ...

Fact Sheet
Nov. 7, 2024

Research and Program Assessment Data - Current Clinical Practice for Tinnitus - 2021 Survey Results All Providers

.PDF | 94.25 KB

Operational performance and quality of life can be impacted by tinnitus, which is the #1 service-connected disability. A multi-disciplinary approach is key to managing patients with bothersome tinnitus. For this Quality Improvement Project, the team sent out the Understanding Practices of Tinnitus Collaborative Survey (UPTiCS) to VA and DoD providers ...

Fact Sheet
Nov. 7, 2024

Clinical Practice Recommendation and Resource Tinnitus Care and Referral

.PDF | 113.40 KB

This practice recommendation was initially created for primary care providers, but can be used by any clinician who sees patients with tinnitus. It is a summary of clinical practice guidelines and recommendations for tinnitus. The information provided in the document helps clinicians talk with patients about various types of tinnitus and deter-mine ...

Fact Sheet
Nov. 7, 2024

Audiology Processing Disorder Factsheet

.PDF | 317.67 KB

AUDITORY PROCESSING DISORDER: What Is It? Auditory processing disorder can be defined as “a condition in which people have trouble making sense of the sounds around them.” (National Institutes of Health)

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