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.
Having problems downloading a Form?
If you’re getting an error message when downloading a form, then try:
- Updating your Adobe Acrobat or Adobe Reader.
- Downloading the file using Microsoft Edge. Chrome, Firefox, and other browsers no longer support opening PDFs.
If that doesn’t work, right-click on the form you’re trying to download and select “save-as” to save the form to your computer.
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
Total Nursing Force
Develop an empowered, innovative, and ready Total Nursing Force, advancing evidence based practice to optimize health and human performance.
Fact Sheet Dose Duration and Tapering of Opioids
Fact sheet for providers with strategies to safely plan dosage, duration, and tapering in opioid therapy
Is Your Body Ready for Pregnancy?
Pregnancy and Substance Use: It’s Not Worth the Risk. A patient focused trifold brochure on the risks of substance use during pregnancy.
Secondary Prevention Infographic
Treatment options after stroke or heart attack.
Taking Control of Your Osteoarthritis
General information brochure with home exercises for Hip OA, Knee OA, and coping with pain.
Primary Prevention Cholesterol Infographic
Information on cholesterol risk and what to do to reduce it.
Defense Medical Accessions Computing System
The DMACS supports the Department of Defense Medical Examination Review Board mission of processing the medical components of admission for applicants to the U.S. Service Academies, Service Reserve Officer Training Corps programs, the Uniformed Services University of the Health Sciences and other officer accession programs as directed by the ...
Medication Adherence App
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.
Chronic Traumatic Encephalopathy (CTE) Frequently Asked Questions
This fact sheet provides answers and information to commonly asked questions about chronic traumatic encephalopathy, or CTE.
Pregnancy, Childcare & Parenting
2 sided handout – addresses some concerns that may be commonly encountered by those persons with upper limb amputation during pregnancy and early parenting.
Within Reach
The Rehabilitation Journey After Upper Limb Amputation – Book – 103-page book with 8 sections – 1. Rehabilitation journey 2. Coping with Amputation 3. Pain Management 4. Care of Residual Limb 5. Physical Rehabilitation 6. Functional Rehabilitation 7. The Prosthesis 8. Resources
What You Should Know About Concussions Fact Sheet
This fact sheet is designed to educate deployed service members about traumatic brain injuries immediately after concussion injury.
Healthy Sleep Following Concussion/mTBI Fact Sheet
Getting restful sleep is one of the most important things you can do for your health, and it often takes thoughtful preparation during the day. This fact sheet offers service members and veterans who experience sleep disturbances after a concussion with healthy sleep tips that can likely improve sleep.
FAQs for Reproductive Health Care
Frequently Asked Questions about reproductive health care. TRICARE has coverage for both medical and pharmacy benefits and includes a list of covered and non-covered services.
JHIE Partner List
Federal Joint HIE Total Partner List Oct. 28, 2022
The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.
You are leaving Health.mil View the external links disclaimer.