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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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This HIPAA Information Paper describes the Best Practices for Safeguarding Laptops (updated October 2022).
This HIPAA Information Paper describes Person or Entity Authentication For Access Controls (Updated March 2015).
This HIPAA Information Paper describes Administrative Safeguards.
This fact sheet is intended to provide fall prevention considerations for people with blindness or low vision. Lists medical care, in home considerations, outdoor considerations and links to resources for more patient safety.
This information paper describes Japanese Encephalitis Virus and the vaccine to prevent it.
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, ...
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) ...
This Fact Sheet is for healthcare providers administering vaccine and contains information on an Emergency Use Authorization of JYNNEOS (Smallpox and Monkeypox Vaccine, Live, Non-Replicating) for prevention of monkeypox disease in individuals determined to be at high risk for monkeypox infection.
Fact sheet from the CDC describing mpox and providing guidance to teens and youth.
This Fact Sheet contains information to help you understand the risks and benefits of receiving JYNNEOS, which you or your child may receive because there is an outbreak of mpox.
This factsheet is intended to identify who vision care services coordinator are and what they do in order to support case managers, social workers, and medical providers to meet the vision care coordination needs of service members, eligible veterans, beneficiaries, and those with DOD-authorized medical services
This information paper describes the adenovirus infection and the vaccine used to prevent it.
This brochure is intended to guide an active duty service member or veteran on how to apply for Veterans Affairs benefits and get information on VA vision care, VA blind rehabilitations services, and low vision services. Links and important phone numbers are provided.
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.
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.
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.
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