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
Information for Combat Veterans
Fact sheet that discusses benefits for wounded, ill or injured service members.
CAP Wounded Service Member Initiative
CAP Supports Wounded Service Member Initiative provides needs assessments, assistive technology, and training to our nation’s wounded service members throughout all phases of recovery and the transition to employment.
Disclosures in Emergency Situations (Updated November 2024)
This HIPAA Information Paper describes the Disclosures in Emergency Situations (updated November 2024).
Encryption of E-Mail
This HIPAA Information Paper describes Encryption of E-Mail (updated September 2012).
Assigned Responsibility
This HIPAA Information Paper describes Assigned Responsibility (uppdated March 2010).
The Privacy Rule and Documentation
This HIPAA Information Paper describes the Privacy Rule and Documentation.
Organized Health Care Arrangements
This HIPAA Information Paper describes Organized Health Care Arrangements (update July 2011).
Requests for Restrictions on the Use & Disclosure of PHI
This HIPAA Information Paper describes the Requests for Restrictions on the Use & Disclosure of PHI (updated January 2012).
New Guidance on De-Identification Methods under the HIPAA Privacy Rule
This HIPAA Information Paper describes the New Guidance on De-Identification Methods under the HIPAA Privacy Rule.
Facility Access Controls
This HIPAA Information Paper describes Facility Access Controls.
Audit Controls
This HIPAA Information Paper describes Audit Controls.
Transmission Security
This HIPAA Information Paper describes Transmission Security.
Women, Infants, and Children Program (WIC)
This HIPAA Information Paper describes the Women, Infants, and Children Program (WIC) (updated March 2010).
Uses and Disclosures of PHI for Health Oversight Activities
This HIPAA Information Paper describes the Uses and Disclosures of PHI for Health Oversight Activities (updated September 2011).
Uses and Disclosures of PHI for Law Enforcement Purposes
This HIPAA Information Paper describes the Uses and Disclosures of PHI for Law Enforcement Purposes (updated February 2011).
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