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
Fact Sheet
Oct. 1, 2014
Documentation of Security Actions
.PDF |
286.91 KB
This HIPAA Information Paper describes Documentation of Security Actions (updated September 2012).
Fact Sheet
Oct. 1, 2014
Security Evaluation
.PDF |
211.41 KB
This HIPAA Information Paper describes Security Evaluation (updated September 2012).
Fact Sheet
Oct. 1, 2014
Integrity Standards
.PDF |
89.38 KB
This HIPAA Information Paper describes Integrity Standards.
Fact Sheet
Oct. 1, 2014
Uses and Disclosures of PHI for Payment Purposes
.PDF |
390.96 KB
This HIPAA Information Paper describes the Uses and Disclosures of PHI for Payment Purposes (updated July 2011).
Fact Sheet
Oct. 1, 2014
Business Associate Contracts and Other Arrangements
.PDF |
95.68 KB
This HIPAA Information Paper describes Business Associate Contracts and Other Arrangements.
Fact Sheet
Oct. 1, 2014
Information Access Management
.PDF |
207.18 KB
This HIPAA Information Paper describes Information Access Management (updated March 2010).
Fact Sheet
Oct. 1, 2014
HIPAA and the Acquisition Process
.PDF |
97.90 KB
This HIPAA Information Paper describes HIPAA and the Acquisition Process.
Fact Sheet
Oct. 1, 2014
Role-Based Access
.PDF |
385.90 KB
This HIPAA Information Paper describes Role-Based Access (updated February 2012).
Fact Sheet
Oct. 1, 2014
Security Management
.PDF |
238.91 KB
This HIPAA Information Paper describes Security Management (updated February 2012).
Fact Sheet
Oct. 1, 2014
Disclosure of PHI to DoD Safety Offices
.PDF |
529.42 KB
This HIPAA Information Paper describes the Disclosure of PHI to DoD Safety Offices (updated February 2012).
Fact Sheet
Oct. 1, 2014
Health Information Technology (HIT) Initiatives
.PDF |
384.73 KB
This HIPAA Information Paper describes the Health Information Technology (HIT) Initiatives.
Fact Sheet
Oct. 1, 2014
Obtaining Military Records
.PDF |
89.00 KB
This HIPAA Information Paper provides details on Obtaining Military Records (update May 2010).
Fact Sheet
Oct. 1, 2014
Uses and Disclosures When an Authorization is Required
.PDF |
218.22 KB
This HIPAA Information Paper describes the Uses and Disclosures When an Authorization is Required.
Fact Sheet
Oct. 1, 2014
Medical Training and Education
.PDF |
343.46 KB
This HIPAA Information Paper describes Medical Training and Education (updated January 2012).
Fact Sheet
Oct. 1, 2014
Special Rules for Alcohol and Drug Abuse Program Patient Records
.PDF |
264.78 KB
This HIPAA Information Paper describes the Special Rules for Alcohol and Drug Abuse Program Patient Records (updated September 2011).
Page 26 of 33, showing items 376 - 390
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