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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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Fact Sheet
Jul 31, 2020

CH Health Tech for Providers and SMs

.PDF | 2.42 MB

Update to the current version already posted// (NEW) Fixed the 508 issue 20200807// Hope this isn't a duplicate effort. I thought I resubmitted this already.

Fact Sheet
Jul 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
Jul 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
Jul 30, 2020

Concussion/Mild TBI Signs and Symptoms Spanish Version Fact Sheet

.PDF | 455.08 KB

This fact sheet — in Spanish — identifies major physical, cognitive and emotional symptoms of concussion/mild TBI, and provides coping and recovery tips.

Fact Sheet
Jul 23, 2020

PEO-DHMS Fact Sheet: Joint Operational Information Systems Theater Medical Data Store

.PDF | 731.85 KB

Theater Medical Data Store is a Non-Classified Internet Protocol Router Network-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 healthcare systems within the operational environment.

Fact Sheet
Jul 23, 2020

AHLTA-T Fact Sheet

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.

Fact Sheet
Jul 13, 2020

Centralized Credentials Quality Assurance System (CCQAS) Factsheet

.PDF | 445.13 KB

Centralized Credentials Quality Assurance System (CCQAS) is a web-based worldwide credentialing, privileging, risk management and adverse actions application that supports more than 105,000 professionals providing health and wellness services to active duty military personnel, their families and selected retirees.

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