Special Needs Program Management Information System
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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Recent Forms & Templates
35th MDG Misawa AB MEDCOI
Online Base of Information Widely Accessible over Network
MHS GENESIS OC3 Electronic Health Record CORE
Navy Medicine Enterprise Web Services
Keller ACH - West Point MEDCOI
Nutrition Management Information System
Automated Neuropsychological Assessment Metrics Military Performance Database
Anatomic Pathology Laboratory Information System
375th MDG Scott AFB MEDCOI
Popular Forms & Templates
DHA-GL Worksheet 02: Pre-Authorization Request
Neurobehavioral Symptom Inventory Form
Patient Global Impression Change Scale
DHA-GL Worksheet 01: Medical Eligibility Verification
Medical Readiness Decision Support System (MRDSS)
Limited Duty Sailor and Marine Readiness Tracker MHS Application Access Gateways
Financial Management Information System
CS SCE 2875
DHA-GL Worksheet 03: Formal Appeal Request
Palmetto Government Benefits Administrator (PGBA)
We found 484 items
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
HCE 805 Some of the Deepest Wounds Are Invisible
Some of the Deepest Wounds are Invisible. Arm your ears. Guard against permanent disability and safeguard sounds you cherish. Wear hearing protection.
Don't Be The Weak Link
Don’t be the weak link. Failure to wear hearing protection puts you, your unit, and your mission in danger.
Research and Program Assessment Data - Current Clinical Practice for Tinnitus - 2021 Survey Results All Providers
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 ...
Clinical Practice Recommendation and Resource Tinnitus Care and Referral
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 ...
CAVRN Map
Graphic representation of the USA locations of the members that represent the CAVRN Network.
Audiology Processing Disorder Factsheet
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)
Research and Program Assessment Data -VA & DOD Clinician Perspectives - PTM Patient Workbook
The PTM Patient Workbook was published in 2010, and updates are needed. VA and DoD clinicians (from audiology and mental health) were interviewed to understand how to best update the PTM materials.
Research and Program Assessment Data - VA & DOD Clinician Perspectives - PTM Clinician Handbook
The PTM Clinician Handbook was published in 2010, and updates are needed. VA and DoD audiologists and mental health providers were interviewed to understand how to best update the PTM materials.
CPG DOEHRS HC Tinnitus Question
The DOEHRS-HC Tinnitus Question information sheet was created to educate and guide DoD Hearing Conservation Technicians about tinnitus and correct recording in the DOEHRS-HC system
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