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
Fact Sheet
March 1, 2022
Computer Vision Syndrome
.PDF |
255.95 KB
This fact sheets is intended to provide information on computer vision syndrome (CVS) and following the 20-20-20 Rule. List of CVS causes and symptoms.
Fact Sheet
Feb. 23, 2022
JHIE Total Partners
.PDF |
312.82 KB
Federal JHIE Total Partners Configured List Update - 22FEB2022
Fact Sheet
Jan. 19, 2022
Knowledge Exchange CloudPad
.PDF |
531.45 KB
The Defense Health Agency (DHA) Knowledge Exchange CloudPad, formally known as the Air Force Medical Services Knowledge Exchange (AFMS Kx), is a joint services collaboration site.
Fact Sheet
Jan. 19, 2022
MHS HR Newswire App
.PDF |
434.21 KB
MHS Human Resources NewsWire gives users instant access to the latest Human Resources (HR) news related to the Military Health System.
Fact Sheet
Jan. 19, 2022
METC App
.PDF |
403.59 KB
METC Mobile provides users instant access to a broad range of useful information, including the campus map, program catalog, student resources, METC news and visitor and newcomer information.
Fact Sheet
Jan. 14, 2022
JMOC Advanced Prerequisites FY22
.PDF |
147.76 KB
Contains a list of Prerequisites that must be met prior to attending the JMOC Advanced Course.
Fact Sheet
Jan. 12, 2022
DMRTI JSMLC Prerequisites Dec2021
.PDF |
123.72 KB
JOINT SENIOR MEDICAL LEADERSHIP COURSE Course Pre-requisites. All prerequisites course can be found in Joint Knowledge Online (JKO).
Fact Sheet
Jan. 10, 2022
JMOC Basic Prerequisites
.PDF |
94.72 KB
List of course that must be completed prior to attending the Joint Medical Operations Basic Course which focuses on joint and combined operational and medical planning from point of injury/illness to the appropriate capability of care during military operations.
Fact Sheet
Jan. 5, 2022
Military Command Exception and Disclosing PHI of Armed Forces Personnel
.PDF |
375.69 KB
This HIPAA Information Paper describes the Military Command Exception and Disclosing PHI of Armed Forces Personnel.
Fact Sheet
Nov. 2, 2021
Inspector General (November 2021)
.PDF |
283.70 KB
The Department of Defense Office of Inspector General (DoD OIG), established in 1982, acts as principal advisor to the Secretary of Defense across a range of matters. In performance of its duties as principal advisor, the DoD OIG actively combats fraud, waste and abuse within the Department of Defense by conducting audits, investigations and evaluations.
Fact Sheet
Oct. 26, 2021
Lost Medical Records (October 2021)
.PDF |
275.94 KB
This Lost Medical Record Information Paper, in accordance with DHA-IPM 18-018, Physical Custody and Control of the DoD Health Record, December 11, 2020, addresses the questions most often posed to the Privacy Office on the subject at hand.
Fact Sheet
Sept. 16, 2021
Telehealth Information Paper
.PDF |
285.00 KB
Telehealth Information Paper (September 2021)
Fact Sheet
Sept. 16, 2021
Use and Disclosure of Psychotherapy Notes
.PDF |
331.23 KB
This HIPAA Information Paper describes the Use and Disclosure of Psychotherapy Notes (updated September 2021).
Fact Sheet
Aug. 18, 2021
DMRTI PHEM Prereqs
.PDF |
175.00 KB
List of pre-req courses needed to added PHEM.
Fact Sheet
Aug. 18, 2021
FCC Prereqs
.PDF |
179.23 KB
Pre-requisite courses needed prior to FCC attendance.
Page 16 of 33, showing items 226 - 240
You are leaving Health.mil
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.