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Military Health System

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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 two 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.

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Healthcare Management of Patients Associated with Interpersonal Violence and the Department of Defense Forensic Healthcare Program

DHA Publication

Establishes DHA's procedures to achieve a patient-centered, trauma-informed health care response when: a patient discloses interpersonal violence such as sexual assault, domestic violence, intimate partner violence, child abuse and neglect, or other acts of unwanted violence (excluding combat injuries).

  • Identification #: 6310.01
  • Date: 8/10/2023
  • Type: DHA-PI
  • Topics: N/A

EIDS MIP Data Science Resources

Fact Sheet

Enterprise Intelligence and Data Solutions Military Health System Information Platform Data Science Resources

988 blog infographic 508


Infographic of the success statistics for the 988 Suicide and Crisis Lifeline since the relaunch.

Mobile Applications for Mental Health Patients


H.R 7900 HASC Report for FY 2023 117-397, Pg. 195

Light-Sensitive Vaccines


A list of vaccines that need to be protected from light during storage and before administering.

Vaccines with Diluents: How to use them

Fact Sheet

Be sure to reconstitute the following vaccines correctly before administering them! Reconstitution means that the lyophilized (freezedried) vaccine powder or wafer in one vial must be reconstituted (mixed) with the diluent (liquid) in another.

Nutrition Management Information System

Fact Sheet

NMIS is a fully integrated nutrition management system supporting military readiness and the war fighter worldwide.

Protected Health Information Management System

Fact Sheet

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 (HIPAA) Privacy Act.

Defense Health Agency - Freedom of Information Act System

Fact Sheet

DHA-FOIA is a web-based application used to process Freedom of Information Act and Privacy Act appeal, litigation, and consultation requests.

Spectacle Request and Transmission System

Fact Sheet

SRTS is the sole electronic system for ordering and tracking eyewear for Department of Defense service members and retirees.

General Best Practice Guidelines for Immunization


The Centers for Disease Control and Prevention recommends routine vaccination to prevent 17 vaccine-preventable diseases that occur in infants, children, adolescents, or adults. This report provides information for clinicians and other health care providers about concerns that commonly arise when vaccinating persons of various ages.

Expense Assignment System

Fact Sheet

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.

DHA Pediatrics App

Fact Sheet

Defense Health Agency Pediatrics App is for pediatricians and contains pediatrics information for various military hospitals and clinics pediatric departments. This password protected app contains a multitude of resources for providers all in one place.

Antimicrobial Stewardship App

Fact Sheet

The Antimicrobial Stewardship Application contains information for providers on microbes and how effective drugs are against them based on particular regions. In addition to the information on microbes, COVID-19 and Mpox resources for providers have also been added to the app.

Electronic Institutional Review Board (EIRB)

Fact Sheet

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.

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Last Updated: July 11, 2023
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