This website has recently undergone changes. As a result, the website is experiencing intermittent interruptions. We're aware of this issue and we're working to resolve these issues. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.
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.
If you’re getting an error message when downloading a form, then try:
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.
We found 533 items
Privacy impact assessment for the Stryker Connected OR Hub is an Information Management System for capturing still images, recording live video, and displaying medical device data on connected displays.
Privacy impact assessment for the Abbott EP (electrophysiology) Cardiac Mapping System V1.x_AI consists of the EP Workmate and the next generation Claris Workmate. The Workmate is a fully computerized system for capturing and measuring physiological data in the clinical EP laboratory.
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.
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,
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.
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).
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.
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.
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.
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.
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.
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
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.
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).
Privacy impact assessment The Abbott i-STAT1 System is an advanced hand-held and test cartridge blood analysis system that delivers laboratory quality results.
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.