You also may be interested in...
Form/Template
7/29/2014
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the United Concordia Companies Inc. (UCCI) Active Duty Dental Program (ADDP) system.
Form/Template
7/29/2014
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Defense Medical Human Resources System - Internet (DMHRSi) system.
Form/Template
7/29/2014
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the KARL STORZ Integrated Operating Room (i-OR) System with LiveData system.
Form/Template
6/6/2014
This template is used to track plans of action and milestones regarding potential breaches.
Recommended Content:
Breach Prevention and Response
Form/Template
6/1/2014
Use this form to bill for cosmetic surgery.
Form/Template
6/1/2014
Defense Health Agency - Great Lakes Worksheet (DHA-GL Worksheet-03) Complete this form when submitting a formal appeal for denied medical claims or denied pre-authorization requests by the DHA, Great Lakes.
Form/Template
5/19/2014
Used to obtain information/specimens needed to evaluate and document forensic DNA testing.
Form/Template
4/30/2014
The Data Request Template for Access by Login for all DHA Systems is required for a Data Sharing Agreement Application.
Recommended Content:
Data Sharing Agreements
Form/Template
4/30/2014
The Data Request Template for General Extractions is required for a Data Sharing Agreement Application.
Recommended Content:
Data Sharing Agreements
Form/Template
4/8/2014
Defense Health Agency (DHA) Office of Small Business Programs (OSBP) uses the System for Award Management (SAM), as well as other government-wide procurement systems, such as the Federal Procurement Data Systems (FPDS), to compile data on Small Business (SB) vendors. The information gathered assists in identifying vendors, their capabilities, and other information necessary for potential contracting opportunities with DHA. The below information captures such information and is used only to assist within the identification process. Completing and submitting this form is voluntary. DHA does not guarantee that your company will be selected for, or awarded a contract to provide products or services.
Recommended Content:
Small Business Programs | Small Business Programs
Form/Template
2/27/2014
The Researcher Responsibilities Form ensures that all investigators conducting Department of Defense (DOD) research involving human participants understand and comply with all the relevant federal and DOD regulations, including Human Protections, records management, and the Health Insurance Portability and Accountability Act (HIPAA). The form also includes provisions related to any DOD biomedical research to comply with FDA regulations.
Recommended Content:
Research & Innovation
Form/Template
12/1/2013
Form used to request access to the collections at the National Museum of Health and Medicine.
Form/Template
10/1/2013
The MHS Notice of Privacy Practices (NoPP) describes how medical information about you may be used and disclosed and how you can get access to this information. This form serves as an acknowledgement to patients and beneficiaries that they have received the MHS NoPP. The template is sized to scale and can be reproduced locally on Avery Label #5163, 5263, 2163, 5923, 5963 (size: 2 inches x 4 inches).
Recommended Content:
How HIPAA Protects You | HIPAA Compliance within the MHS | MHS Notice of Privacy Practices
Showing results 316 - 330
Page 22 of 24
News Around the Military Health System
You are leaving Health.mil
The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.
You are leaving Health.mil
View the external links disclaimer.
Last Updated: October 22, 2021