UCCI – Statement of Work (SOW) Dental Coverage for all Active Duty Service Members (ADSMs)
FOIA Library
Learn more about the Freedom of Information Act (FOIA) Reading Room, which is part of the 1996 amendments to FOIA, mandating publicly accessible "electronic reading rooms" with agency FOIA response materials and other information routinely available to the public.
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.
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
April 30, 2015
Military Acute Concussion Evaluation 2012
.PDF |
618.50 KB
Use this form to screen for concussions
Form/Template
April 23, 2015
Electronic Surveillance System for Early Notification of Community-based Epidemics (ESSENCE)
.PDF |
194.39 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Electronic Surveillance System for Early Notification of Community-based Epidemics (ESSENCE) system.
Form/Template
April 17, 2015
Defense Medical Accessions Computing System (DMACS)
.PDF |
102.71 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Defense Medical Accessions Computing System (DMACS) system.
Form/Template
April 6, 2015
Fraud and Abuse Correspondence Tracking System (FACTS)
.PDF |
229.61 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Fraud and Abuse Correspondence Tracking System (FACTS) system.
Form/Template
Feb. 9, 2015
Epidemiology Laboratory Service Supply Order Form
.PDF |
175.03 KB
Submit this form to order Epidemiology Laboratory Service supplies.
Form/Template
Feb. 4, 2015
Fuji CR/DR Family on FDX Console
.PDF |
53.65 KB
This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the Fuji CR/DR Family on FDX Console system.
Form/Template
Jan. 16, 2015
Medical Readiness Decision Support System (MRDSS)
.PDF |
95.71 KB
This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the Medical Readiness Decision Support System (MRDSS) system.
Form/Template
Jan. 16, 2015
WHASC FileNet P8
.PDF |
98.33 KB
This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the WHASC FileNet P8 system.
Form/Template
Dec. 11, 2014
International SOS (Intl.SOS) Enrollment Image Management System (EIMS)
.PDF |
68.78 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the International SOS (Intl.SOS) Enrollment Image Management System (EIMS) system.
Form/Template
Nov. 3, 2014
Health Information Privacy HIPAA Complaint Form
.PDF |
363.14 KB
The Health Information Privacy HIPAA Complaint Form is used by DHA to proceed with a complaint. DHA uses the information provided to determine if DHA has jurisdiction and, if so, how to process your complaint.
Form/Template
July 29, 2014
DOD Women, Infants, and Children Overseas Participant Information Management System (WIC PIMS)
.PDF |
79.05 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the DOD Women, Infants, and Children Overseas Participant Information Management System (WIC PIMS) system.
Form/Template
July 29, 2014
TRICARE Managed Care System (TRIMACS)
.PDF |
70.05 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the TRICARE Managed Care System (TRIMACS) system.
Form/Template
July 29, 2014
Palmetto Government Benefits Administrator (PGBA)
.PDF |
70.70 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Palmetto Government Benefits Administrator (PGBA) system.
Form/Template
July 29, 2014
Defense and Veterans Eye Injury and Vision Registry (DVEIVR)
.PDF |
72.81 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Defense and Veterans Eye Injury and Vision Registry (DVEIVR) system.
Form/Template
July 29, 2014
Theater Medical Data Store (TMDS)
.PDF |
69.44 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Theater Medical Data Store (TMDS) system.
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