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
Military K9 Hearing Protection
You protect their hearing. Remember to protect yours
Process Overview for Referrals for Amputation Care
This document outlines the steps needed to refer a patient for amputation care.
Brandon Act Fact Sheet
DOD issued guidance on May 5, 2023, to establish policy, assign responsibilities, and provide procedures for service members to initiate a referral for a mental health evaluation.
ESSENCE Fact Sheet
The Department of Defense Electronic Surveillance System for the Early Notification of Community-based Epidemics collects near real-time biosurveillance data globally for over 9.5 million beneficiaries. ESSENCE receives several types of data, including outpatient health encounter records, pharmacy prescriptions, laboratory results, and radiology reports.
What You Should Know About Blast Overpressure Fact Sheet
TBICoE developed this fact sheet for service members to learn more about blast overpressure, low-level blast, and high-level blast exposures and what possible effects those exposures can have on their brain health. Service members should be aware of the potential effects of blast exposures, which occupations and heavy weapon systems are associated ...
Blast Overpressure Provider Support Tool
The "Blast Overpressure Provider Support Tool" contains key information about blast overpressure (high and low-level blast), symptoms associated with BOP exposure, and the steps to address BOP exposure—documentation, symptom management, and coding. It also includes details on the occupational specialties and weapon systems that can increase risk of ...
Airborne Hazards and Open Burn Pit Registry: Quick Tips for Providers
This fact sheet serves as a quick reference guide providing information (i.e., diagnostic codes, deployment and exposure considerations, and specialty referrals) that would be helpful to have on hand in an “easy-to-use” abbreviated format when evaluating patients with environmental exposure concerns.
Joint Trauma and Education Training Delivery Platform
JTETDP, commonly referred to as Deployed Medicine, delivers standardized medical readiness training across the Department of Defense and partner nations via a web-based application. The platform offers instruction in Tactical Combat Casualty Care, ensuring both active duty and reserve personnel are trained, ready, and capable of treating injured ...
Defense Health Agency Texting Solution
DHATS is a Communications as a Service platform that offers secure text messaging (Short Message Service) and delivery services for tenant applications.
Virtual Education Center
VEC is Software-as-a-Service platform that provides standardized patient education content to beneficiaries. The application extends the ability to engage millions of beneficiaries and effectively and efficiently promotes the Defense Health Agency goals of improved health and military readiness.
Asthma Self Management Skills
Clinical Support Tool for Clinical Practice Guideline for Asthma: Asthma Self- Management Skills.
Asthma Action Plan
Clinical Support Tool for Clinical Practice Guideline for Asthma: Asthma Action Plan
Inhalers Anatomy and Pharmacology
Clinical Support Tool for Clinical Practice Guideline for Asthma: Inhalers Anatomy and Pharmacology
DHA MedCard App
The MedCard app allows Defense Health Agency pharmacies to capture and verify the validation dates of third party payers for Department of Defense beneficiaries. Additionally, the app provides the user a way to capture information on themselves and family members that may be helpful when interacting with a pharmacist.
Breathe2Relax App
Initially designed for the military community but beneficial for use by anyone, the relaxation app trains you on the “belly breathing” technique that has proven benefits for your overall mental health. Use the app’s breathing exercises to learn and practice the breathing technique on your own or as part of a stress management program supervised by ...
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