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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
Jun 16, 2016

Significant Change Document Health IT SIN

.PDF | 218.38 KB

IT Schedule 70 is proposing a new Special Item Number (SIN) for Health IT to assist customer agencies in procuring Health IT services by clearly differentiating them from other IT related services currently available under the program. The new Health IT SIN will provide industry partners the opportunity to differentiate their Health IT services ...

Fact Sheet
May 19, 2016

Formulary Management Table for Oral Contraceptives

.PDF | 179.13 KB

The Director, DHA, approved the recommendations from the February 2016 DoD P&T Committee meeting on May 5, 2016, with an implementation date of August 10, 2016.

Fact Sheet
May 19, 2016

Formulary Management for OTC Doxylamine

.PDF | 79.66 KB

The Director, DHA, approved the recommendations from the February 2016 DoD P&T Committee meeting on May 5, 2016, with an implementation date of August 10, 2016.

Fact Sheet
Mar 1, 2016

Uranium

This fact sheet describes the element, Uranium, and its primary health effects.

Fact Sheet
Feb 3, 2016

Zika Virus

.PDF | 401.93 KB

Zika (zee-kah) virus is primarily spread from an infected person to an uninfected person through the bite of an infected Aedes species mosquito. Although most infections do not cause symptoms, Zika virus infection may result in fever, rash, joint pain, and red eyes.

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