Deployed Medicine
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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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
374th MDG Yokota AB MEDCOI
Defense Medical Logistics - Enterprise Solution Core
Defense Medical Logistics - Enterprise Solution Amazon Web Services
Bliss AHC - Ft Huachuca MEDCOI
Expeditionary Medical Encounter Database
Naval Health Clinic Corpus Christi MEDCOI
Army Public Health Center LAN
Philips IntelliVue Information Center iX 4.x_AA
Andrews MDG JB Andrews MEDCOI
Popular Forms & Templates
Web MEDCASE Requirements and Execution 1.x AA 2990
Neurobehavioral Symptom Inventory Form
DHA-GL Worksheet 02: Pre-Authorization Request
Patient Global Impression Change Scale
DHA-GL Worksheet 01: Medical Eligibility Verification
Limited Duty Sailor and Marine Readiness Tracker MHS Application Access Gateways
Medical Readiness Decision Support System (MRDSS)
Financial Management Information System
TBI Caregiver Support Forms
Heidelberg Eye Explorer HEYEX 2
We found 492 items
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.
Questions and Answers About Chronic Multisymptom Illness Fact Sheet
Frequently asked questions and answers about Chronic Multisymptom Illness.
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.
Asthma Diary
This one-page form allows patients to track their asthma symptoms, triggers, medications, response to meds, peak flow rates, and comments.
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
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.
Taking Control of Your Osteoarthritis
General information brochure with home exercises for Hip OA, Knee OA, and coping with pain.
Secondary Prevention Infographic
Treatment options after stroke or heart attack.
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 ...
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