UCCI – Statement of Work (SOW) Dental Coverage for all Active Duty Service Members (ADSMs)
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Recent FOIA Documents
Delta Dental – TRICARE Retiree Dental Program (TRDP) coverage Statement of Work (SOW)
Identification and Validation of Other Health Insurance
Direct Care encounters for Multiple Sclerosis
TRICARE beneficiaries with a diagnosis of Parkinson's Disease
Number of office visits for PCOS as well as the number of diagnoses for fatigue in a 1 year timeframe
Direct Care encounters for Chronic Bronchitis, Emphysema, Bronchiectasis, and Chronic Airway Obstruction
2009 Autism Spectrum Disorder - FOIA Terms and Conditions 2
Government Required MTF Prime Service Areas
Service Assist Team After Action Report - DD Form 1423-1 Contract Data Requierments List
Popular FOIA Documents
We found 621 items
Form/Template
Aug. 11, 2015
Coding and Compliance Editor (CCE)
.PDF |
166.39 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Coding and Compliance Editor (CCE) system.
Form/Template
Aug. 7, 2015
UFBPA Appendix for the Nov 2015 DOD P&T Meeting: Namenda XR
.DOCX |
32.18 KB
UFBPA Appendix for the Nov 2015 DOD P&T Meeting for Namenda XR
Form/Template
Aug. 7, 2015
UFBPA Appendix for the Nov 2015 DOD P&T Meeting: Acne Isotretinoids
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34.54 KB
UFBPA Appendix for the Nov 2015 DOD P&T Meeting for Acne Isotretinoids
Form/Template
Aug. 7, 2015
UFBPA Appendix for the Nov 2015 DOD P&T Meeting: GI-2 Agents, Miscellaneous
.DOCX |
33.03 KB
UFBPA Appendix for the Nov 2015 DOD P&T Meeting for GI-2 Agents, Miscellaneous
Form/Template
Aug. 7, 2015
UFBPA Appendix for the Nov 2015 DOD P&T Meeting: Antirheumatics Injectable Methotrexate
.DOCX |
33.23 KB
UFBPA Appendix for the Nov 2015 DOD P&T Meeting for Antirheumatics Injectable Methotrexate
Form/Template
Aug. 7, 2015
UFBPA Appendix for the Nov 2015 DOD P&T Meeting: Namzaric
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31.83 KB
UFBPA Appendix for the Nov 2015 DOD P&T Meeting for Namzaric
Form/Template
Aug. 7, 2015
UFBPA Appendix for the Nov 2015 DOD P&T Meeting: ADHD Stimulants
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35.62 KB
UFBPA Appendix for the Nov 2015 DOD P&T Meeting for ADHD Stimulants
Form/Template
July 28, 2015
PEPR Account Activation Request Form
.PDF |
6.81 MB
This form is required for all users to complete prior to receiving access to the Patient Encounter and Reporting (PEPR) application.
Form/Template
July 20, 2015
STARS
.PDF |
58.44 KB
This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the STARS system.
Form/Template
July 20, 2015
Audio Metric Database System (AUDBASE) 2.3
.PDF |
61.15 KB
This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the Audio Metric Database System (AUDBASE) 2.3 system.
Form/Template
June 29, 2015
Armed Forces Billing and Collection Utilization Solution (ABACUS)
.PDF |
178.10 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Armed Forces Billing and Collection Utilization Solution (ABACUS) system.
Form/Template
May 20, 2015
Consent Checklist
.PDF |
106.87 KB
DOD Directive 3216.02 defines research involving a human being as an experimental subject as an activity, for research purposes, where there is an intervention or interaction with a human being for the primary purpose of obtaining data regarding the effect of the intervention or interaction. Examples of interventions or interactions include, but are ...
Form/Template
May 18, 2015
MHS IM-IT Submission Form
.DOCX |
284.45 KB
Fill out the MHS IM-IT Submission Form to submit an idea to foster change to an IM/IT capability, policy/process, or system.
Form/Template
May 1, 2015
Patient Global Impression Change Scale
.PDF |
59.99 KB
Form filled out by patients to rate their changes in activity, symptoms, emotions and quality of life.
Form/Template
April 30, 2015
Neurobehavioral Symptom Inventory Form
.PDF |
79.84 KB
Form used by providers to question patients about their symptoms
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