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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, 2014

Diagnostic Testing for MERS-CoV by DOD Laboratories

.PDF | 250.64 KB

Diagnostic Testing for MERS-CoV by DOD Laboratories using the CDC Novel Coronavirus 2012 Real-Time RT-PCR Assay (MERS-CoV) For Emergency Use Only IAW Conditions of Authorization as specified in the FDA’s Emergency Use Authorization

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

Examples of Members of the Public

.DOC | 24.00 KB

This document provides a guideline describing criteria used to define Members of the Public.

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

MHS Learn Instructions

.PDF | 611.61 KB

This document provides instructions on how to access MHS Learn.

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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