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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
Nov 22, 2017

Amputation Care ECHO Registration Information

.PDF | 404.07 KB

The Accreditation Council on Continuing Medical Education (ACCME) requires all accredited providers to submit the total number of physician and non-physician attendees. In this regard, ALL attendees in a CME activity, regardless of discipline, must be registered. When the course is completed, attendees must return to this website and complete an ...

Fact Sheet
Nov 20, 2017

Amputation Care ECHO Fact Sheet

.PDF | 398.23 KB

Amputation Care ECHO (Extension for Community Healthcare Outcomes) is a hub and spoke educational telementoring model that links expert specialist teams at a ‘hub’ with clinicians at other locations – the ‘spokes’ of the model. Together, they participate in monthly ECHO sessions to learn new material and discuss patient care.

Fact Sheet
Nov 17, 2017

MHS VLER HIE eHealth Exchange Partners

.PDF | 232.31 KB

This document lists the private sector health care partners that the Military Health System can currently share information with.

Fact Sheet
Aug 30, 2017

Immunization Recommendations for Disaster Response Operations

.PDF | 68.86 KB

This information paper provides immunization recommendations and resources for Department of Defense (DOD) personnel supporting disaster response operations, both in CONUS and OCONUS.

Fact Sheet
Aug 3, 2017

VHA TRAIN

.PDF | 536.61 KB

VHA TRAIN is an external learning management system to provide valuable, Veteran-focused, accredited, continuing medical education at no cost to community health care providers.

Fact Sheet
May 12, 2017

The Defense Medical Epidemiology Database System Overview Fact Sheet

.PDF | 224.93 KB

This fact sheet provides a system overview of the Defense Medical Epidemiology Database (DMED). DMED is a web-based tool to remotely query de-identified active component personnel and medical event data contained within the Defense Medical Surveillance System (DMSS). Learn about the newly released version of DMED and its key features in this document.

Fact Sheet
Apr 12, 2017

HIPAA Operating Rules

.PDF | 628.26 KB

The Department of Health and Human Services (HHS) establishes a single set of operating rules for each Health Insurance Portability and Accountability Act (HIPAA) transaction and promulgate rules to establish its adoption. Operating Rules affect TRICARE where it employs HIPAA electronic transactions in Private Sector Care as a Health Plan/Payer and in ...

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