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.
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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
June 1, 2011
2011 Health Related Behaviors Survey - Active Duty Military Questions and Answers
.PDF |
613.13 KB
Questions and answers for active duty military for the 2011 Health Related Behaviors Survey
Fact Sheet
Feb. 1, 2010
Heath Physics Society: Depleted Uranium
.PDF |
231.16 KB
This fact sheet discusses the medical effects of DU exposure
Fact Sheet
Jan. 1, 2010
Depleted Uranium Medical
This fact sheet provides an overview of DU, exposure and medical treatment available.
Fact Sheet
Jan. 1, 2010
Urine Testing for Depleted Uranium
This fact sheet briefly outlines some basic information about DU, and specifically about the medical test most often used to determine if a person has been exposed to DU.
Fact Sheet
Dec. 31, 2009
2008 Survey of Health Related Behaviors Questions and Answers
.PDF |
165.22 KB
The 2008 Department of Defense (DoD) Survey of Health Related Behaviors Among Active Duty Military Personnel assesses substance abuse, mental well-being, deployment issues, fitness, nutrition and weight management, and compares this data to select national health status goals. Health status goals are from the Department of Health and Human Services’ ...
Fact Sheet
Dec. 31, 2009
2008 Health Related Behaviors Survey Service Program Offerings
.PDF |
384.16 KB
The purpose of this study is to assess health behaviors that have the potential to impact readiness and to assess the overall well being of the Armed Forces. The Department of Defense (DoD) uses data from the Health Related Behavior (HRB) Survey to improve education, training, treatment, and counseling to support the Services and optimize individual ...
Fact Sheet
Jan. 1, 2007
Rehabilitation of Lower Limb Amputation, Version 1 - 2007
.PDF |
811.94 KB
The Clinical Practice Guideline (CPG) for the Rehabilitation of Lower Limb Amputation was developed under the auspices of the Veterans Health Administration (VHA) and the Department of Defense (DoD) pursuant to directives from the Department of Veterans Affairs (VA).
Fact Sheet
Dec. 3, 2003
Pin Point (Update)
.PDF |
278.27 KB
This is an update of the Pin Point Fact Sheet.
Fact Sheet
Dec. 2, 2003
Copper Head Update
.PDF |
192.22 KB
The primary purposes of Copper Head were to determine the percentage of aerosol penetration into an operational shop under three readiness conditions in a frigid environment.
Fact Sheet
Dec. 2, 2003
Autum Gold
.PDF |
28.39 KB
The purpose of the Autumn Gold test program was to examine shipboard vulnerabilities and capabilities during a chemical or biological warfare agent attack. The test’s primary objective was to determine the efficiency of shipboard protection systems such as detectors and decontaminants. The Autumn Gold test used a biological tracer.
Fact Sheet
Dec. 2, 2003
Eager Belle, Phase II (Revised)
.PDF |
277.24 KB
The primary purpose of the Eager Belle, Phase II test was to study the downwind travel of biological aerosols.
Fact Sheet
Dec. 2, 2003
Autum Gold Update
.PDF |
164.92 KB
This is an update to the original Autumn Gold Fact Sheet
Fact Sheet
Dec. 2, 2003
West Side, Phase I (Revised)
.PDF |
281.31 KB
The purpose of West Side, Phase I was to evaluate the A/B 45Y-4 dry agent disseminator in a frigid environment
Fact Sheet
Dec. 2, 2003
Shady Grove (Revised)
.PDF |
290.73 KB
Shady Grove, Desert Test Center (DTC) test 64-4, was originally named Red Beva.
Fact Sheet
Nov. 1, 2003
The Who, What, When, and Where of the Security Rule
.PDF |
115.98 KB
This fact sheet explains the HIPAA Security Rule and states who must comply with it.
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