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 webpage on Inside DHA. CAC authentication is required.
If you have questions, please send an email to the DHA Forms Management Office.

Having problems downloading a Form?

If you’re getting an error message when downloading a form, then try:

Updating your Adobe Acrobat or Adobe Reader.
Downloading the file using Microsoft Edge. Chrome, Firefox, and other browsers no longer support opening PDFs.

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

75th MDG Hill AFB MEDCOI DOD Women, Infants, and Children Overseas Participant Information Management System Role of Debt Collection Assistance Officer Notice DOD Birth and Infant Health Research Program Naval Hospital Jacksonville MEDCOI Navy Medicine Online US Army Medical Materiel Development Activity Local Area Network Air Force Medical Readiness Agency MedCOI Armed Forces Billing And Collection Utilization Solution - Amazon Web Services DD3111: Routine Immunization Screening Form (Adult)

Popular Forms & Templates

Neurobehavioral Symptom Inventory Form DHA Form 31: Reasonable Accommodation Request DHA-GL Worksheet 02: Pre-Authorization Request Patient Global Impression Change Scale DHA-GL Worksheet 01: Medical Eligibility Verification Participation in the Joint Health Information Exchange by Non-Active-Duty Healthcare Beneficiaries Medical Readiness Decision Support System (MRDSS) DHA Form 303: Refrigerator Temperature Log - Celsius DD3111: Routine Immunization Screening Form (Adult) Assisted Reproductive Services for the Benefit of Seriously or Severely Ill/Injured (Category II or III) Active Duty Service Members: Qualifying Service Member Information and Attestation

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