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Military Health System

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Brand over Generic Prior Authorization Form

Form/Template
8/10/2011

This form should be completed and signed by the prescriber to request prior authorization to use a brand name drug instead of a generic equivalent.

Individual Investigator Agreement

Form/Template
3/29/2011

This form is a tool that can be used when a collaborating investigator is not part of an institution with a federal assurance.

Disposition of Organs Retained for Extended Examination

Form/Template
3/8/2011

Use this form to grant permission to the Armed Forces Medical Examiner System to retain organs for an extended examination to determine cause of death.

Institutional Agreement for IRB Review

Form/Template
8/30/2010

This form should be used when an institution will be engaged in human subject research and will use an Institutional Review Board (IRB) that is not organizationally or legally part of the institution.

Supplemental Health Care Program Worksheet

Form/Template
4/16/2010

Use this worksheet when referring a service member under the Supplemental Health Care Program.

DOD Addendum to the Department of Health and Human Services Federalwide Assurance for the Protection of Human Subjects

Form/Template
8/20/2009

This form is a tool to help Institutions with an existing FWA approved by DHHS to know about and acknowledge key DOD policies and requirements since the DHHS FWA does not identify DOD requirements.

Smallpox Vaccine Sick Call Medical Note

Form/Template
7/23/2009

This form is used to note clinical or follow-up care after receiving a smallpox vaccine.

Recommended Content:

Smallpox (ACAM2000) | Smallpox Vaccine-Associated Adverse Events

Smallpox Vaccine Take Check Medical Note

Form/Template
7/23/2009

This form is used to note clinical or follow-up care after receiving a smallpox vaccine.

Recommended Content:

Smallpox (ACAM2000) | Smallpox Vaccine-Associated Adverse Events

Researcher Responsibility Form

Form/Template
4/16/2009

The Office of the Under Secretary of Defense for Personnel and Readiness requires that all research investigators (principal investigators as well as associate investigators) engaged in research with one of its institutions explicitly acknowledge and accept responsibility for protecting the rights and welfare of human research subjects as stated therein.

Disposition of Remains Election Statment Initial Notification of Identified Partial Remains

Form/Template
4/1/2009

Used to record disposition of remains desired by the person authorized to direct disposition of remains (PADD).

TMDS DD Form 2930 (PIA)

Form/Template
11/1/2008

Privacy Impact Assessment (PIA) for the Theater Medical Data Store (TMDS).

Smallpox Vaccine Screening or Medical Note Continuation Page

Form/Template
2/7/2008

This form is used to identify additional Notes on Problems, Issues or Concerns of Patient or Provider related to Vaccine Assessment or Follow-up.

Recommended Content:

Smallpox (ACAM2000) | Smallpox Vaccine-Associated Adverse Events

OIF DU Exposure Semi-Annual Progress Report

Form/Template
9/30/2004

This form is used to record DU Bioassay/Fragment Testing and Results Information

Brand over Generic Prior Authorization Form

Form/Template
8/10/2011

This form should be completed and signed by the prescriber to request prior authorization to use a brand name drug instead of a generic equivalent.

Individual Investigator Agreement

Form/Template
3/29/2011

This form is a tool that can be used when a collaborating investigator is not part of an institution with a federal assurance.

Disposition of Organs Retained for Extended Examination

Form/Template
3/8/2011

Use this form to grant permission to the Armed Forces Medical Examiner System to retain organs for an extended examination to determine cause of death.

Institutional Agreement for IRB Review

Form/Template
8/30/2010

This form should be used when an institution will be engaged in human subject research and will use an Institutional Review Board (IRB) that is not organizationally or legally part of the institution.

Supplemental Health Care Program Worksheet

Form/Template
4/16/2010

Use this worksheet when referring a service member under the Supplemental Health Care Program.

DOD Addendum to the Department of Health and Human Services Federalwide Assurance for the Protection of Human Subjects

Form/Template
8/20/2009

This form is a tool to help Institutions with an existing FWA approved by DHHS to know about and acknowledge key DOD policies and requirements since the DHHS FWA does not identify DOD requirements.

Smallpox Vaccine Sick Call Medical Note

Form/Template
7/23/2009

This form is used to note clinical or follow-up care after receiving a smallpox vaccine.

Recommended Content:

Smallpox (ACAM2000) | Smallpox Vaccine-Associated Adverse Events

Smallpox Vaccine Take Check Medical Note

Form/Template
7/23/2009

This form is used to note clinical or follow-up care after receiving a smallpox vaccine.

Recommended Content:

Smallpox (ACAM2000) | Smallpox Vaccine-Associated Adverse Events

Researcher Responsibility Form

Form/Template
4/16/2009

The Office of the Under Secretary of Defense for Personnel and Readiness requires that all research investigators (principal investigators as well as associate investigators) engaged in research with one of its institutions explicitly acknowledge and accept responsibility for protecting the rights and welfare of human research subjects as stated therein.

Disposition of Remains Election Statment Initial Notification of Identified Partial Remains

Form/Template
4/1/2009

Used to record disposition of remains desired by the person authorized to direct disposition of remains (PADD).

TMDS DD Form 2930 (PIA)

Form/Template
11/1/2008

Privacy Impact Assessment (PIA) for the Theater Medical Data Store (TMDS).

Smallpox Vaccine Screening or Medical Note Continuation Page

Form/Template
2/7/2008

This form is used to identify additional Notes on Problems, Issues or Concerns of Patient or Provider related to Vaccine Assessment or Follow-up.

Recommended Content:

Smallpox (ACAM2000) | Smallpox Vaccine-Associated Adverse Events

OIF DU Exposure Semi-Annual Progress Report

Form/Template
9/30/2004

This form is used to record DU Bioassay/Fragment Testing and Results Information

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Last Updated: July 20, 2022
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