Deployed Medicine
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.
Looking for an official Defense Health Agency Form?
- Please visit the DHA Forms Management page on Inside DHA. CAC authentication is required.
- If you have questions, please send an email to the DHA Forms Management Office.
Having problems downloading a Form?
If you’re getting an error message when downloading a form, then try:
- Updating your Adobe Acrobat or Adobe Reader.
- Downloading the file using Microsoft Edge. Chrome, Firefox, and other browsers no longer support opening PDFs.
If that doesn’t work, right-click on the form you’re trying to download and select “save-as” to save the form to your computer.
Recent Forms & Templates
374th MDG Yokota AB MEDCOI
Defense Medical Logistics - Enterprise Solution Core
Defense Medical Logistics - Enterprise Solution Amazon Web Services
Bliss AHC - Ft Huachuca MEDCOI
Expeditionary Medical Encounter Database
Naval Health Clinic Corpus Christi MEDCOI
Army Public Health Center LAN
Philips IntelliVue Information Center iX 4.x_AA
Andrews MDG JB Andrews MEDCOI
Popular Forms & Templates
Web MEDCASE Requirements and Execution 1.x AA 2990
Neurobehavioral Symptom Inventory Form
DHA-GL Worksheet 02: Pre-Authorization Request
Patient Global Impression Change Scale
DHA-GL Worksheet 01: Medical Eligibility Verification
Limited Duty Sailor and Marine Readiness Tracker MHS Application Access Gateways
Medical Readiness Decision Support System (MRDSS)
Financial Management Information System
TBI Caregiver Support Forms
Heidelberg Eye Explorer HEYEX 2
We found 492 items
Business Intelligence Common Services
The BCS solution leverages software and services to transform data into actionable intelligence that informs on strategic and tactical business decisions.
Application Lifecycle Manager
ALM is a secure, configurable, web-based information technology solution used for process and issue management.
Medical Devices for Assessment of TBI Fact Sheet
This fact sheet defines the different regulatory terms and pathways of medical devices, provides an overview on what devices are currently FDA approved for assessing TBI, and shares some considerations for clinicians and researchers before using a device.
DMLES LogiCole
The Defense Medical Logistics - Enterprise Solution LogiCole is the technical refresh of DMLSS transitioning all MEDLOG applications into a single, web-based application supporting all medical logistics functions in the Military Health System.
DML-ES-Core
DML-ES-Core supports all medical logistics functions in the Military Health System and enhances the health care that the DHA provides to its beneficiaries by reducing the time health care providers spend on logistics planning and management.
CY 23 Hearing Health Report
This report provides a consistent method of reporting data on DOD and service-level Hearing Conservation Programs using standard measures of effectiveness as defined by DODI 6055.12. DOD Hearing Conservation Working Group, Defense Center for Public Health-Dayton, and the DOD Hearing Center of Excellence collaborate to provide information on HCP ...
Low Gain Hearing Aid Fact Sheet
Low-gain hearing aids are programmed to provide just a small amount of amplification, or “boost”, to sounds around you.
Protected Health Information Management Tool
This HIPAA Information Paper describes the Protected Health Information Management Tool (updated November 2024).
Uses and Disclosures of Protected Health Information - Family Members and Friends
This HIPAA Information Paper describes uses and disclosures of protected health information as it relates to family members and friends (updated November 2024).
Amendment of PHI
This HIPAA Information Paper describes the Amendment of PHI (updated October 2024).
Minimum Necessary Rule
This HIPAA Information Paper describes the Minimum Necessary Rule (updated November 2024).
DOD Firefighter Perfluoroalkyl and Polyfluoroalkyl Substances Fact Sheet
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 ...
DOD Occupational Medicine Provider Perfluoroalkyl and Polyfluoroalkyl Substances Fact Sheet
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 ...
HPD Fit Test Fact Sheet
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 ...
Speech Intelligibility
Speech Intelligibility graphic of low to high intelligibility at 86dBA
The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.
You are leaving Health.mil View the external links disclaimer.