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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If that doesn’t work, right-click on the form you’re trying to download and select “save-as” to save the form to your computer.
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
TBI Caregiver Support Forms
We found 484 items
DHA Usability Lab
The Web & Mobile Technology Program Management Office oversees the Defense Health Agency Usability Lab and carefully evaluates digital health technologies by observing users and collecting their feedback.
Interagency Comprehensive Plan for Care Coordination Support (ICPCCS)
The Interagency Comprehensive Plan for Care Coordination Support (ICPCCS) provides non-clinical care coordination for wounded, ill or injured Service Member/Veterans by facilitating bi-directional data exchange among case management team members from the Department of Defense (DOD) and Department of Veterans Affairs (VA).
Digital Pathology Program (DPP)
The Digital Pathology Program is a partnership between the Solution Delivery Division and the Joint Pathology Center to digitize their pathology medical data.
DOD Cancer Registry (DODCR)
The Department of Defense Cancer Registry Program is an enterprise data application and repository used to support Military Health System Cancer treatment and research.
Federal Information Lifecycle Electronic Repository (FILER)
FILER is a centralized online repository for all non-patient records affiliated with the Defense Health Agency. The system enables processing and oversight of non-patient records in accordance with The National Archive and Records Administration and Department of Defense automated records keeping standards.
Health Artifact and Image Management Solution (HAIMS)
The Health Artifact and Image Management Solution (HAIMS) provides the Departments of Defense and Veterans Affairs health care providers global visibility and access to artifacts and images generated during the health care delivery process.
Prior authorization bypass drugs and criteria
This reference provides special prior authorization rules and background for specific drug groups.
Patient Registry Factsheet
The Anomalous Health Incidents Patient Registry collects patient information after an AHI event.
Anomalous Health Incident Factsheet
AHI is the term used to describe a series of unexplained and sudden symptoms associated with the acute onset of a sensory event, such as pressure, heat, loud sounds, or other auditory phenomena.
Medical Pathways Factsheet
Durable Medical Equipment is a term for reusable devices or equipment prescribed by a provider for a patient’s use to support a related medical condition
Joint Patient Safety Reporting (JPSR)
JPSR integrates patient safety data from the DHA and the Department of Veterans Affairs’ National Center for Patient Safety into a single system for quantitative and comparative data analysis.
Expense Assignment System
EAS is a Web-based tool essential to the Department of Defense because it assists the Defense Health Agency in identifying the total cost of providing health care to TRICARE patients.
Identity Authentication Services
IAS is an authentication and authorization suite that supplies a robust mechanism for secure Public Key Infrastructure services within the Military Health System. IAS protects access to authorized systems and beneficiary information.
MP2BET
The MHS Planning, Programming, Budget, and Execution Tool facilitates data-driven metrics, assessments, and analysis throughout the Planning, Programming, and Budgeting Execution processes for the Defense Health Program funding requirements.
Purchased Care Operating System
The Purchased Care Operating System is composed of TRICARE Encounter Data and Patient Encounter Process Reporting. The TED system processes TRICARE healthcare claims and the PEPR system reports and analyzes the claims processed by TED.
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