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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
Feb. 13, 2024

AHI Patient Registry Frequently Asked Questions Fact Sheet

.PDF | 188.13 KB

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 ...

Fact Sheet
Jan. 9, 2024

Hearing Protector Fit-Testing Requirement in the Department of Defense

.PDF | 331.11 KB

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 ...

Fact Sheet
Dec. 14, 2023

PTSD and Other Stress-Related Disorders Following Concussion/Mild TBI Fact Sheet

.PDF | 542.68 KB

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.

Fact Sheet
Dec. 13, 2023

Low-Level Blast: VA Provider Fact Sheet

.PDF | 820.18 KB

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.

Fact Sheet
Dec. 8, 2023

asthmaBrochure

.PDF | 668.95 KB

Managing Your Asthma: A Patient’s Guide

Fact Sheet
Nov. 6, 2023

SelfCareSkills

.PDF | 4.59 MB

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, ...

Fact Sheet
Nov. 6, 2023

Warfighter Brain Health After TBI: Guidance for Leaders

.PDF | 895.85 KB

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’ ...

Fact Sheet
Oct. 4, 2023

SBRI STTR Frequently Asked Questions

.PDF | 95.12 KB

DHA Small Business Innovation Research - Small Business Technology Transfer Frequently Asked Questions.

Fact Sheet
Aug. 30, 2023

Positive Activity Jackpot App

.PDF | 882.52 KB

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.

Fact Sheet
Aug. 24, 2023

Deployment Readiness Education for Servicewomen App

.PDF | 692.40 KB

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 ...

Fact Sheet
July 24, 2023

Individual Longitudinal Exposure Record

.PDF | 704.94 KB

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.

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