Special Needs Program Management Information System
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
35th MDG Misawa AB MEDCOI
Online Base of Information Widely Accessible over Network
MHS GENESIS OC3 Electronic Health Record CORE
Navy Medicine Enterprise Web Services
Keller ACH - West Point MEDCOI
Nutrition Management Information System
Automated Neuropsychological Assessment Metrics Military Performance Database
Anatomic Pathology Laboratory Information System
375th MDG Scott AFB MEDCOI
Popular Forms & Templates
DHA-GL Worksheet 02: Pre-Authorization Request
Neurobehavioral Symptom Inventory Form
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
CS SCE 2875
DHA-GL Worksheet 03: Formal Appeal Request
Palmetto Government Benefits Administrator (PGBA)
We found 484 items
Spectacle Request and Transmission System
SRTS is the sole electronic system for ordering and tracking eyewear for Department of Defense service members and retirees.
BUMED Manpower Information System II
BUMIS II provides an online inventory of personnel assigned to United States Navy Medicine including demographics, education, health care specialty, additional qualifications, assignment, and training skills.
Defense Medical Human Resources System - internet
DMHRSi is a powerful human resource management tool designed to deliver time-sensitive data that supports efficient, contingency planning for medical personnel readiness, training, financial Labor Cost Assignment reporting, and other human resource requirements within the Military Health System.
WebMRE
Web Medcase Requirements and Execution allows the Integrated Clinical Systems Program Management Office to accurately forecast financial needs for future years. The system is vital to ensuring the Defense Health Agency is able to provide timely resources and leverage current technologies in the delivery of health care to its beneficiaries.
Enterprise Clinical Imaging Archive
The ECIA is the medical image repository used by DHA and Department of Veterans Affairs medical teams to store and view radiology, cardiology, and ophthalmology images worldwide.
Picture Archiving and Communication Systems
PACS technology allows for digital transmission of electronic images and reduces the need for x-ray film, manual filing, and manual retrieval. The use of PACS improves beneficiary health care by streamlining platforms and providing medical teams quick, easy access at the point of care.
HCE 810
Don’t be the weak link. Failure to wear hearing protection puts you, your unit, and your mission in danger.
Technology Assessment and Requirements Analysis
The TARA team ensures that military hospitals and clinics have the proper technology and equipment to provide exceptional care by assessing their current device inventory and organizational needs.
TRICARE Website Fact Sheet
TRICARE.mil is the public-facing website for the health care program for uniformed service members and their families around the world.
Best Practices for Verification of Identity
This HIPAA Information Paper describes the Best Practices for Verification of Identity.
Treating Insomnia with Behavior Change A Patients Guide
Brochure for providers with tips for considering which behaviorally based treatment for chronic insomnia disorder is right for a patient, what to tell patients about treatment options, and provider resources.
Insomnia Disorder Screening Guidance
To guide clinicians in identifying patients requiring further evaluation for chronic insomnia disorder after initial screening, particularly when diagnosis is uncertain, or symptoms persist.
Mandibular Advancement Device
To guide healthcare providers in the appropriate use of Mandibular Advancement Devices for the management of Obstructive Sleep Apnea, particularly in patients who prefer first line MAD therapy, or those who are unsuccessful with Positive Airway Pressure therapy and seek to use MAD therapy as alternative or combination therapy.
Health.mil Website
The Health.mil website is the organizational web presence for the Military Health System. In addition to providing a vehicle for official MHS news and information, Health.mil provides the central content management system for MHS business web sites.
Enterprise Information Management
EIM is a commercial software platform that serves as the foundation for several Care and Benefits Integrated Systems and Solution Delivery Division programs.
The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.
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