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.
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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
Incidental Uses and Disclosures of PHI
This HIPAA Information Paper describes the Incidental Uses and Disclosures of Personal Health Information (updated September 2024).
Medical Simulation and Training PMO Brochure
The Medical Simulation and Training PMO serves as the materiel developer and total lifecycle systems manager for medical simulation and training products across the Military Health System.
Traumatic Brain Injury and Alcohol Misuse
This fact sheet describes how excessive drinking can impact service members with TBI. The fact sheet also provides resources for managing alcohol consumption.
Acute Concussion Care Pathway Fact Sheet for Providers
TBICoE developed this fact sheet on the acute concussion pathway to aid in standardized care. The fact sheet also includes details on reporting requirements in the deployed setting.
Pregnancy Postpartum Depression Infographic
information about depression during or after pregnancy, including perinatal depression “baby blues” , how to identify perinatal depression, what to do, how it can affect baby and family.
Pelvic Floor Muscle Training
This three page guide provides information on understanding the effects of pregnancy on pelvic floor muscles.
Medication Overuse Headache Following Concussion Fact Sheet
This fact sheet explains the basics of medication overuse headache as well as treatment and prevention strategies.
Managing Headaches Following Concussion Fact Sheet
This patient fact sheet on managing headache following concussion will help patients understand post-traumatic headache basics, triggers, and non-drug remedies. Post-traumatic headache is one of the most common and persistent symptoms of mild traumatic brain injury.
Pediatric to Adult Care Transition App
The PACT mobile application helps youth make the transition from pediatric to adult care by providing information and resources that allow them to take responsibility for their health care.
AHI Patient Registry Frequently Asked Questions Fact Sheet
The Department of Defense Trauma Registry is a web-based data collection tool that captures and documents, in electronic format, information about the demographics, injury-producing incident, diagnosis and treatment, and outcome of injuries sustained by U.S./Non-U.S. military and U.S./Non-U.S. civilian personnel in wartime and peacetime from the point ...
Hearing Protector Fit-Testing Requirement in the Department of Defense
Significant updates to the Department of Defense Instruction (DoDI) 6055.12 “Hearing Conservation Program” are expected to be published in April 2023. The significant change is a new requirement for initial hearing protector fit-testing to be conducted for all DOD personnel who have documented noise exposure greater than or equal to 95 dBA 8-hour time ...
SBIR/STTR FAQ
Gain insight on common small business inquiries, uncover program background, and access additional resources.
PTSD and Other Stress-Related Disorders Following Concussion/Mild TBI Fact Sheet
Co-occurring concussion and stress-related disorders, including PTSD, are common among service members. This fact sheet defines concussion, also known as mild traumatic brain injury, and provides an overview of common stress-related disorders, the overlapping symptoms, and how to manage those symptoms.
Low-Level Blast: VA Provider Fact Sheet
This fact sheet was developed specifically for VA medical providers. Low-level blast is defined as blast generated from firing heavy weapon systems or explosives in combat or training environments. Exposure to low-level blast does not typically result in a clinically diagnosable concussion, also known as mild traumatic brain injury.
asthmaBrochure
Managing Your Asthma: A Patient’s Guide
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