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.
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
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
Nutritional Fitness Resources Bridging Performance and Disease Prevention
In support of Total Force Fitness and the White House National Strategy on Hunger, Nutrition, and Health: the Biden-Harris Administration National Strategy on Hunger, Nutrition, and Health.
Managing Your Asthma: A Patient's Guide
This patient guide will help you work with your Health Care Team to develop an action plan for treating your asthma. With the right action plan–that combines both self-management and medical care–you can live a normal, active life.
Asthma Self Management Book
This 44-page patient information booklet provides information on: what is asthma, how it affects your lungs, symptoms, triggers, treatments, monitoring, and living well with asthma.
Leader Policy Guidance for Mild TBI/Concussion in the Deployed Setting Fact Sheet
This document describes the line leader responsibilities for the Department of Defense mandated policy, DOD Instruction 6490.11, “DOD Policy Guidance for the Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting,” that applies to all service members involved in potentially concussive events in deployed settings.
Decide + Be Ready App Factsheet
The Decide + Be Ready mobile application contains evidence-based information on the most common forms of contraception available. The app uses a unique interface that was previously studied and designed to aid patients in making the best contraception decision.
TriFold Chronic Obstructive Pulmonary Disease COPD
Trifold brochure – Patient Information on what is COPD, causes, treatment options and goals, medications, what to do if it worsens.
Questions and Answers About Chronic Multisymptom Illness Fact Sheet
Frequently asked questions and answers about Chronic Multisymptom Illness.
Take Care of Your Kidneys
Patient brochure with information on what kidneys do, why you have kidney disease, how will you know if you have a kidney problem, stages of Chronic Kidney Disease, who can help, and where to find more information.
A Guide for Patients and Providers on Chronic Multisymptom Illness
This brochure provides information on Chronic Multisymptom Illness, what it is, symptoms, treatment options, planning, and goal setting.
Asthma Diary
This one-page form allows patients to track their asthma symptoms, triggers, medications, response to meds, peak flow rates, and comments.
Chronic Kidney Disease Algorithms and Medication Management Card for providers
Chronic Kidney Disease Algorithms and Medication Management Card for providers - containing topics with medications and algorithms.
Management of Chronic Kidney Disease Recommendations Card for Providers
Management of Chronic Kidney Disease Recommendations Card for Providers – Topics with list of the CKD Recommendations
Pregnancy and Childbirth: A Goal Oriented Guide to Prenatal Care Purple Book
This patient focused book provides information regarding prenatal visits, nutrition, illness, labor & delivery, and the post-partum period.
Changes in Behavior, Personality or Mood Following Concussion/mTBI Fact Sheet
This TBICoE fact sheet can be used by health care providers to educate patients with a concussion, or mild TBI, on how to manage changes in mood related to their injury. Patients and caregivers would also find this information useful.
Joint HIE eHealth Partners List
List of current Joint HIE eHealth Exchange Partners
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