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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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Fact Sheet
Mar 29, 2023

Paper Record Tracking

.PDF | 966.59 KB

PRT is an application that manages and tracks physical medical records that are stored in record rooms at military hospitals and clinics.

Fact Sheet
Mar 29, 2023

Interagency Comprehensive Plan for Care Coordination Support (ICPCCS)

.PDF | 649.40 KB

The Interagency Comprehensive Plan for Care Coordination Support (ICPCCS) provides non-clinical care coordination for wounded, ill or injured Service Member/Veterans by facilitating bi-directional data exchange among case management team members from the Department of Defense (DOD) and Department of Veterans Affairs (VA).

Fact Sheet
Mar 29, 2023

DHA Usability Lab

.PDF | 625.61 KB

The Web & Mobile Technology Program Management Office oversees the Defense Health Agency Usability Lab and carefully evaluates digital health technologies by observing users and collecting their feedback.

Fact Sheet
Mar 29, 2023

Medication Adherence App

.PDF | 819.99 KB

The Medication Adherence application creates a tracker for patients to input their medication types, dosages, delivery methods, days, and times for taking medications. The app will set reminders and keep track of dosages taken and missed. The app also provides resources regarding medications and conditions.

Fact Sheet
Mar 29, 2023

Access to Care App

.PDF | 746.46 KB

The Access to Care App is a resource guide that uses mobile technology to provide information to beneficiaries on how to access medical care in the San Antonio, Texas market.

Fact Sheet
Mar 29, 2023

Enterprise Information Management

.PDF | 787.29 KB

EIM is a commercial software platform that serves as the foundation for several Care and Benefits Integrated Systems and Solution Delivery Division programs.

Fact Sheet
Mar 23, 2023

PEO-DHMS Fact Sheet: Joint Operational Medicine Information Systems Operational Medicine Care Delivery Platform

.PDF | 1.82 MB

OpMed CDP provides medics and medical providers with documentation, clinical decision support and data transmission capabilities in combat and pre-hospital deployed medical environments. OpMed CDP is a suite of interoperable solutions that optimize battlefield medical care and integrates with the federal electronic health record (MHS GENESIS). It ...

Fact Sheet
Mar 3, 2023

UpToDate Mobile Complete

.PDF | 538.63 KB

This fact sheet describes the UpToDate Mobile Complete database of evidence-based recommendations from anywhere – even without a Wi-Fi or network connection.

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