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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 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.

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We found 477 items

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Form/Template
May 7, 2024

Roche Diagnostics CoaguChek XS Plus Pro System AI

.PDF | 752.38 KB

Privacy impact assessment for The Roche CoaguChek® XS Plus/XS Pro system (CoaguChek XS Plus/XS Pro meter and CoaguChek XS PT Test strips) (enterprise) quantitatively determines prothrombin time ("PT"), using capillary blood or whole blood from a vein (nonanticoagulated venous whole blood).

Form/Template
May 7, 2024

Siemens CLINITEK Advantus Series Analyzers AI

.PDF | 746.81 KB

Privacy impact assessment for The Siemens CLINITEK Advantus Series is a semi-automated urine chemistry analyzer. Tests measured include Leukocyte, Nitrite, Protein, Blood, Glucose, Ketone, Bilirubin, Urobilinogen, pH, Specific Gravity, Creatinine, and Protein-to-Creatinine Ratio.

Form/Template
May 7, 2024

Philips Magnetic Resonance Imaging Family Version R5 X AI

.PDF | 739.49 KB

Privacy impact assessment for the Philips Magnetic Resonance Imaging Family Version R5.X_AI medical devices (within the limits of the used Examination Room table) is intended for use as a diagnostic device.

Form/Template
May 7, 2024

Public Health Command Europe PHCE

.PDF | 723.85 KB

Privacy impact assessment for Public Health Command Europe is a Brigade size component supporting over 54,000 overseas personnel in the Kaiserslautern Community area with services such as Veterinary services for family pets and military working dogs, a multitude of laboratory services to ensure community health,

Form/Template
May 7, 2024

Philips Healthcare PageWriter TC5O TC70 Cardiograph AI

.PDF | 725.18 KB

Privacy impact assessment for The Philips PageWriter TC50/TC70 Cardiograph is designed to simplify diagnostic electrocardiograph testing and streamline workflow by delivering high-quality clinical reports

Form/Template
May 7, 2024

Beckman Coulter DXH 800 600 Series Analyzer V3 X AI

.PDF | 748.74 KB

Privacy impact assessment for the Beckman Coulter DXH 800/600 Series Analyzer V3.X AI employ Automated Intelligent Morphology, this enhanced multidimensional high-definition cellular analysis solution utilizes flow cytometric technology to deliver results to physicians and patients faster and with greater confidence.

Form/Template
May 7, 2024

316th Med Group Joint Base Andrews MEDCOI

.PDF | 746.41 KB

Privacy impact assessment for the The 316th Medical Group Joint Base Andrews MEDCOI Enclave will provide core services to the medical center's enterprise to include collections of storage arrays, networking infrastructure, backup/recovery devices, virtual server infrastructure, physical servers.

Form/Template
May 7, 2024

Siemens Medical Solutions Dimension Vista 500 3 X AI

.PDF | 727.89 KB

Privacy impact assessment for The Siemens Medical Solutions Dimension Vista 500 3.X (AI) is a medical device (Intelligent Lab System). Externally it is a single large unit (7’ in width). Internally it contains one or more analyzers, and an information processing unit.

Form/Template
May 7, 2024

Naval Hospital Pensacola MEDCOI

.PDF | 750.19 KB

Privacy impact assessment for The Naval Hospital Pensacola MEDCOI Local Area Network consists of hardware, software, and telecommunications architecture to provide information services to the hospital and outpatient clinics located at Navy Medicine Readiness and Training Command Pensacola.

Form/Template
May 7, 2024

Nuance PowerScribe 360 v4 Voice Dictation System

.PDF | 747.78 KB

Privacy impact assessment for Nuance PowerScribe 360 v4 Voice Dictation System (PS360V4) is a voice recognition system that is used in radiology departments to facilitate dictation and reporting of radiology studies.

Form/Template
May 2, 2024

Beckman Coulter DXC 700 AU Chemical Analyzer 1 V1 X AI

.PDF | 764.46 KB

The Beckman Coulter DXC 700 AU Chemical Analyzer 1 V1.X_AI measures analytes in samples, in combination with appropriate reagents, calibrators, quality control (QC) samples, and other accessories.

Form/Template
Apr 24, 2024

Carl Zeiss FORUM 4 Picture Archiving and Communication System AA

.PDF | 752.30 KB

Carl Zeiss FORUM 4 Picture Archiving and Communication System, an enterprise-wide Department of Defense information system, is a clinical health system that operates at a hub for multiple ophthalmic imaging modalities that have historically been independently controlled at the machine level, with no standard centralization mechanism. Zeiss FORUM ...

Form/Template
Apr 24, 2024

Quidel Sofia II FIA Version 2 X AI

.PDF | 747.67 KB

Quidel Sofia II FIA Version 2.X_AI (Quidel Sofia II) is a professional use laboratory small bench top analyzer that uses fluorescence detection to identify infectious diseases like Coronavirus Disease (COVID-19).

Form/Template
Apr 24, 2024

Beckman Coulter DXI600 and DXI800 V5 X AI

.PDF | 727.94 KB

The Beckman Coulter DXI600 & DXI800 V5.X_AI device helps laboratories run 40,000-80,000 tests per year meeting peak workload demands with throughput of up to 200 tests per hour and up to 60 samples on board.

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