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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- 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
35th MDG Misawa AB MEDCOI
Online Base of Information Widely Accessible over Network
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375th MDG Scott AFB MEDCOI
Popular Forms & Templates
DHA-GL Worksheet 02: Pre-Authorization Request
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CS SCE 2875
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We found 484 items
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
SelfCareSkills
This 46-page patient book on diabetes includes information on healthy eating, activity, monitoring, hypoglycemia and hyperglycemia. It addresses symptoms, causes, medications, sick day management, emotional health, and traveling. Included is information on caring for the heart, kidneys, eyes, and feet as well as an action plan for healthy eating, ...
Warfighter Brain Health After TBI: Guidance for Leaders
This TBICoE fact sheet, Warfighter Brain Health After TBI: Guidance for Leaders, condenses the basics of recognizing, reporting, and preventing TBI in service members. It updates and supersedes the Line Leader Policy Guidance fact sheet and includes a list of what the DOD has defined as potentially concussive events and outlines leaders’ ...
SBRI STTR Frequently Asked Questions
DHA Small Business Innovation Research - Small Business Technology Transfer Frequently Asked Questions.
Positive Activity Jackpot App
Positive Activity Jackpot combines a behavioral health therapy called Pleasant Event Scheduling with augmented reality technology to help users find interesting things to do close to where they live.
Deployment Readiness Education for Servicewomen App
The Deployment Readiness Education for servicewomen application provides essential information specifically for women before, during and after a deployment. These resources cover a variety of topics including pre-deployment packing lists, contraception advice, menstrual cycle and mental health management while on deployment, women’s health care ...
Defense Health Agency - Freedom of Information Act System
DHA-FOIA is a web-based application used to process Freedom of Information Act and Privacy Act appeal, litigation, and consultation requests.
Individual Longitudinal Exposure Record
ILER is a web-based application that provides the Department of Defense and the Department of Veterans Affairs personnel the ability to link service member and veteran data to known exposures, ensuring the efficient and effective continuity of individualized health care.
Defense Occupational and Environmental Health Readiness System - Industrial Hygiene
DOEHRS-IH captures occupational and environmental health risk data, and actively monitors biological, chemical, and physical health hazards that impact Department of Defense personnel worldwide. The system supports force health readiness and global operations.
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