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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 484 items

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Fact Sheet
Aug. 6, 2020

Cruise with Control

.PDF | 662.18 KB

One of the leading causes of military traumatic brain injury is motor vehicle crashes. This fact sheet provides tips on how to stay safe on motorcycles to help prevent TBI while riding. It also includes the signs and symptoms of TBI, and how to get help if you think you sustained a brain injury.

Fact Sheet
Aug. 6, 2020

Head Check: Know Your Helmet, Winter Sports

.PDF | 489.30 KB

A Head for the Future aims to raise awareness about TBI among service members, veterans and their families. This fact sheet provides tips for choosing the right helmet for the right sport, with information about different safety features in helmets for skiing, snowboarding and snowmobiling.

Fact Sheet
July 30, 2020

Neck Pain Following Concussion/mTBI Fact Sheet

.PDF | 205.90 KB

Neck pain can occur together with headaches following a concussion. This TBICoE fact sheet provides information to help patients manage neck pain. Various techniques are explained, including the use of heat or cold therapy, neck stretches, proper sleep positions and common activities that may contribute to neck strain.

Fact Sheet
July 30, 2020

Ways to Improve Your Memory Following Concussion/mTBI Fact Sheet

.PDF | 158.74 KB

This TBICoE fact sheet can be used by health care providers to educate patients with concussion, or mild traumatic brain injury, on how to manage memory problems related to their injury.

Fact Sheet
Nov. 14, 2019

Defense Health Agency Great Lakes Process Guide

.PDF | 1.17 MB

This guide was developed to assist active duty, reservist, guard members, unit medical and command representatives with commonly used DHA-GL services (or processes).

Fact Sheet
Aug. 29, 2019

How to submit Initial pre-authorization DVA/DOD MOA

.PDF | 500.34 KB

This process guides references how to submit an INITIAL Request for Pre-Authorization of Inpatient or Outpatient Medical Care at a VA Facility under DVA/DOD Memorandum of Agreement (MOA) for Active Duty Service Members with SCI, TBI and/or Blind Diagnoses to Defense Health Agency-Great Lakes.

Fact Sheet
Aug. 29, 2019

How to submit Continuity of Care pre-authorization DVA/DOD MOA

.PDF | 486.78 KB

This process guides references how to submit Request for Continuity of Care for Pre-Authorization of Inpatient or Outpatient Medical Care at a VA Facility under DVA/DOD Memorandum of Agreement (MOA) for Active Duty Service Members with SCI, TBI and/or Blind Diagnoses to Defense Health Agency-Great Lakes.

Fact Sheet
July 30, 2019

Theater Medical Data Store Fact Sheet

.PDF | 824.23 KB

Theater Medical Data Store (TMDS) is a Non-Classified Internet Protocol Router Network (NIPRNet)-based web system that allows providers to view and document a patient’s complete operational electronic health record by compiling his/her health history from various electronic military health care systems within the operational environment.

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