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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 492 items

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Fact Sheet
March 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
Feb. 17, 2023

Pregnancy, Childcare & Parenting

.PDF | 248.62 KB

2 sided handout – addresses some concerns that may be commonly encountered by those persons with upper limb amputation during pregnancy and early parenting.

Fact Sheet
Feb. 17, 2023

Within Reach

.PDF | 15.79 MB

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

Fact Sheet
Nov. 16, 2022

Healthy Sleep Following Concussion/mTBI Fact Sheet

.PDF | 108.25 KB

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.

Fact Sheet
Nov. 1, 2022

FAQs for Reproductive Health Care

.PDF | 113.53 KB

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.

Fact Sheet
Oct. 21, 2022

Access Controls

.PDF | 239.04 KB

This HIPAA Information Paper describes Person or Entity Authentication For Access Controls (Updated March 2015).

Fact Sheet
Sept. 14, 2022

Neuroendocrine Dysfunction Following Concussion/Mild TBI Provider Fact Sheet

.PDF | 168.72 KB

The Neuroendocrine Dysfunction Following Concussion/Mild TBI Provider Fact Sheet, developed by TBICoE, is a one page document that gives primary care managers (PCMs) an overview of neuroendocrine dysfunction (NED) that can occur after concussion, or mild TBI. It highlights conditions with overlapping symptoms, screening and treatment considerations, ...

Fact Sheet
Aug. 22, 2022

PHIMT Fact Sheet

.PDF | 241.91 KB

The Protected Health Information Management Tool (PHIMT), is the primary tool used by Military Health System (MHS) facilities for all release of information processing, management and compliance. The tool also serves many other critical features that are required by law including all major Health Insurance Portability and Accountability Act (HIPAA) ...

Fact Sheet
June 8, 2022

Talking to Your Child about TBI: A Guide for Caregivers of Service Members and Veterans

.PDF | 246.77 KB

This TBICoE fact sheet includes age-appropriate strategies adults can use to speak with children about traumatic brain injury—or concussion. It also includes tips on how to help kids cope with changes that impact the family unit.

Fact Sheet
June 8, 2022

Addressing Family Needs: A Guide for Caregivers of Service Members and Veterans

.PDF | 116.93 KB

This TBICoE fact sheet includes ways to build stronger family ties and develop coping strategies for challenges the family may experience after a loved one sustains a concussion—or TBI—such as substance misuse, psychological and emotional trauma, and financial changes.

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