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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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
JMOC Basic Prerequisites
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.
Military Command Exception and Disclosing PHI of Armed Forces Personnel
This HIPAA Information Paper describes the Military Command Exception and Disclosing PHI of Armed Forces Personnel.
Inspector General (November 2021)
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.
Lost Medical Records (October 2021)
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.
Telehealth Information Paper
Telehealth Information Paper (September 2021)
Use and Disclosure of Psychotherapy Notes
This HIPAA Information Paper describes the Use and Disclosure of Psychotherapy Notes (updated September 2021).
DMRTI PHEM Prereqs
List of pre-req courses needed to added PHEM.
FCC Prereqs
Pre-requisite courses needed prior to FCC attendance.
Help With Ongoing Symptoms Following Concussion/Mild TBI Fact Sheet
Although the majority of service members recover from concussion with little to no intervention, some experience symptoms beyond the first three months after their initial injury. This fact sheet addresses why symptoms continue to persist in some patients and how they can cope or seek additional help.
MAC Billing Quick Reference Guide
MAC Billing Quick Reference Guide
Key Themes in Digital Ethics
This fact sheet provides an overview of key themes in ethics related to the use of digital health in clinical practice.
Mobile Health Device Privacy and Security
Tips and techniques for maintaining privacy and security of health information stored on mobile devices.
Core Requirements for ASSET
Requirements to attend EWSC ASSET+
Core Requirements for COTS
Course requirements to attend EWSC COTS+
EWS Course V40 Objectives COTS
EWSC COTS+ course objectives
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