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USU Researchers Commended for Innovation, Leadership with 2021 MHSRS Awards
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Form/Template
3/11/2020
A screening checklist for contraindications to vaccines for children and teens.
Form/Template
3/2/2020
Each potential recipient of smallpox vaccine must complete this official screening form and it must be signed by a licensed health care provider prior to vaccination.
Form/Template
2/12/2020
Fill out this request to place and order with the Armed Forces Repository of Specimen Sample for the Identification of Human Remains
Form/Template
1/22/2020
Student nomination form for both JMOCs and JMPT.
Form/Template
12/11/2019
Student nomination form for all DMRTI Joint Operations Program courses, to include, JMOC-B/A, JMPT, and JHOC.
Form/Template
11/20/2019
Form for users to fill out to request information/data from EACE
Form/Template
11/20/2019
Used to collect information from Military Health System beneficiaries in order to determine their eligibility for coverage under the TRICARE Program.
Form/Template
11/14/2019
To collect information from Military Health System beneficiaries in order to determine their eligibility for coverage under the TRICARE Program.
Form/Template
11/14/2019
Used to collect information from Military Health System beneficiaries in order to determine their eligibility for coverage under the TRICARE Program.
Form/Template
10/4/2019
Please attach MTF P&T Committee comments & meeting minutes, an explanation of the rationale for the request, copies of supporting clinical evidence, and anything else that needs to be considered by the DOD P&T Committee.
Form/Template
9/30/2019
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the MHS GENESIS / Defense Healthcare Management System Modernization Electronic Health Record (DHMSM EHR)
Form/Template
9/24/2019
This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the Dental Imaging Collaborative Environment (DICE) system.
Form/Template
9/24/2019
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the TRICARE E-Commerce (TMA ECS) system.
Form/Template
9/20/2019
This Military Health System (MHS) Privacy Impact Assessment (PIA) describes the Spectacle Request and Transmission System (SRTS). The SRTS is a Government developed clinic and laboratory web-based application that serves as the sole electronic system for ordering and tracking military eyewear.
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Last Updated: September 13, 2022