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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
May 4, 2005

Program Areas CBRN Protection

.PDF | 160.05 KB

The Medical Countermeasures (MCM) Directorate assists in protecting U.S. forces that are globally engaged and at potentially increased risk to being exposed to naturally occurring substances or encountering manufactured chemical, biological, radiological or nuclear (CBRN) agents that adversaries may seek to use against them.

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

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

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

Shady Grove (Revised)

.PDF | 290.73 KB

Shady Grove, Desert Test Center (DTC) test 64-4, was originally named Red Beva.

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

.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

Autum Gold Update

.PDF | 164.92 KB

This is an update to the original Autumn Gold Fact Sheet

Fact Sheet
Jun 30, 2003

Deseret Test Center Test 73-30

.PDF | 127.58 KB

The objectives of DTC Test 73-30 were to determine viability decay of selected microorganisms impacted on microfilaments and exposed to a spectrum of sunlight conditions, and to obtain general trend information from a limited comparison of biological aerosol decay data using the microfilament and the free-floating aerosol techniques.

Fact Sheet
Jun 30, 2003

Blue Tango

.PDF | 125.71 KB

The purposes of the Blue Tango test were to determine the decay rates of Serratia marcescensand Escherichia coli aerosols when released at ground level into a tropical rain forestenvironment, and when released from above the canopy of a tropical rain forest.

Fact Sheet
Jun 30, 2003

Deseret Test Center Test 70-11, Phase I, Subtest 4

.PDF | 122.07 KB

The purpose of DTC Test 70-11, Phase I, Subtest 4 was to obtain data on the dissemination characteristics of the BIGEYE Dissemination Test Vehicle (DTV) containing agent VXsimulant payload and to determine if the BIGEYE DTV could be used to obtain field data forevaluating hazards to US forces after a massive chemical attack with a ballistic weapon.

Fact Sheet
Jun 30, 2003

Deseret Test Center Test 70-C

.PDF | 212.82 KB

The purpose of DTC Test 70-C was to characterize the naturally occurring airborne particulates in a marine atmosphere for background data applicable to the operation of biological detectors under development and to detection concepts under consideration.

Fact Sheet
Jun 30, 2003

Deseret Test Center Test 74-10, Phase I

.PDF | 131.16 KB

The purpose of DTC Test 74-10, Phase I was to evaluate and assess the vulnerability of amarine amphibious force in LVTP-7 vehicles when subjected to selected forms of chemicalattack.

Fact Sheet
Jun 30, 2003

Deseret Test Center Test 70-11 Phase I, Subtest 3

.PDF | 123.25 KB

The purpose of DTC Test 70-11, Phase I, Subtest 3 was to provide deposition data for theadvanced development test of the TMU-28/B spray system fitted with the MLU-40/B cutterassembly and to evaluate the F-100 and/or the F-4 Series Aircraft-TMU-28/U spray systemwith agent simulants bis (2-ethylhexyl) hydrogen phosphite and trioctyl phosphate.

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