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
Best Practices for Safeguarding Laptops
This HIPAA Information Paper describes the Best Practices for Safeguarding Laptops (updated October 2022).
Access Controls
This HIPAA Information Paper describes Person or Entity Authentication For Access Controls (Updated March 2015).
Administrative Safeguards
This HIPAA Information Paper describes Administrative Safeguards.
Neuroendocrine Dysfunction Following Concussion/Mild TBI Provider Fact Sheet
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, ...
PHIMT Fact Sheet
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) ...
Talking to Your Child about TBI: A Guide for Caregivers of Service Members and Veterans
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.
Addressing Family Needs: A Guide for Caregivers of Service Members and Veterans
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.
Taking Care of Yourself: A Guide for Caregivers of Service Members and Veterans
This TBICoE fact sheet is directed towards caregivers and provides self-care strategies to avoid caregiver burnout and fatigue when caring for a loved one who has sustained a traumatic brain injury.
Intimacy and Sexuality Following TBI: A Guide for Caregivers of Service Members and Veterans
This TBICoE fact sheet provides caregivers and those diagnosed with a traumatic brain injury—or concussion— with information for addressing intimacy and sexuality concerns following injury. It includes information on how TBI can affect sexual functioning and behavior, and tips on improving intimacy after a brain injury.
Returning Home After TBI: A Guide for Caregivers of Service Members and Veterans
This TBICoE fact sheet shares information and adaptation tips when a loved one diagnosed with a TBI—or concussion—returns home. It includes hot topics such as driving following TBI and ways to avoid a second traumatic brain injury.
Physical Disability Board of Review Process Chart
This document shows the flow chart for how the PDBR processes requests for reviews of disability ratings.
Accounting of Disclosures of PHI
This HIPAA Information Paper describes the Accounting of Disclosures of PHI.
American Recovery and Reinvestment Act (ARRA) of 2009
This Information Paper outlines provisions of the economic stimulus legislation — the American Recovery and Reinvestment Act of 2009 (ARRA), enacted on Feb. 17, 2009 — that are relevant to the Military Health System. (updated May 2022).
Military Health System Research Program Notice of Funding Opportunity
This flyer describes the process for applying for and receiving funding by the Military Health System Research Program.
Federal JHIE Total Partners
List of Joint HIE Total eHealth Partners
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