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.
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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
Tactical Breather App
Tactical Breather can be used to control physiological and psychological responses to stress. Through repetitive practice and training, anyone can learn to gain control of their heart rate, emotions, concentration and other responses during stressful situations.
Robotic Process Automation Brochure
Robotic Process Automation utilizes software to imitate human actions in order to manage high-volume, rule-based, and repetitive tasks. Entire end-to-end processes can be performed by software robots with very little human interaction.
Pain and Opioid Safety App
Opioid Safety provides information to both the users of opioids and those that prescribe them. This application (app) allows patients to track their pain levels between appointments so they can discuss it with their physician. The app includes information and answers to common questions for patients using opioids as well as Clinical Practice ...
Provider Resilience App
Provider Resilience gives health care providers tools to guard against burnout and compassion fatigue as they help service members, veterans, and their families.
DreamEZ App
The Dream EZ app uses principles from Imagery Rehearsal Therapy to help users manage their nightmares by making them diminish in intensity and frequency. These techniques help users get a better night’s sleep.
Defense Occupational and Environmental Health Readiness System – Hearing Conservation
The Defense Occupational and Environmental Health Readiness System – Hearing Conservation is an information system designed to support personal auditory readiness and help prevent hearing loss through early detection.
Centralized Credentials Quality Assurance System
CCQAS is a web-based worldwide credentialing, privileging, risk management and adverse actions application that supports more than 105,000 professionals providing health and wellness services to active duty military personnel, their families and selected retirees.
Electronic Institutional Review Board
EIRB is a central, web-based application used to manage the lifecycle research, review, and oversight processes for Department of Defense research as well as unique DOD review needs.
Protected Health Information Management Tool
PHIMT is an enterprise workflow and compliance system used across DHA facilities as the primary system for processing, managing, reporting, and tracking of Protected Health Information provisions and guidelines, and a host of legal requirements related to the Health Insurance Portability and Accountability Act Privacy Act.
Spectacle Request and Transmission System
SRTS is the sole electronic system for ordering and tracking eyewear for Department of Defense service members and retirees.
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.
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.
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.
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.
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.
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