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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
May 14, 2014

General Mapping of HIPAA Security Rule to Existing DOD Policies and IA Controls

.PDF | 703.77 KB

This document represents an updated mapping of the HIPAA Security Rule to select DOD policies and IA controls. It does not constitute the rendering of legal advice or an exhaustive list of all possible mappings of the Security Rule to DOD policies or IA controls. The document is intended to provide general information and to allow different ...

Fact Sheet
May 12, 2014

HIPAA Identifiers

.DOC | 25.00 KB

This document outlines 18 Health Insurance Portability and Accountability Act (HIPAA) Identifiers of concern to privacy when dealing with other people's information.

Fact Sheet
May 7, 2014

Prerequisites to DHA Privacy Board Review

.PDF | 89.81 KB

This flowchart outlines the requirements that must be initiated before the DHA Privacy Board reviews a research project for compliance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and Department of Defense (DoD) Health Information Privacy Regulation (DoD 6025.18-R).

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