Defense Health Agency

U.S.

Official Website: https://www.health.mil/About-MHS/OASDHA/Defense-Health-Agency

The Defense Health Agency supports uniformed services health care, including the TRICARE health plan.

Forms & Documents

Browse all Defense Health Agency government forms

201 - 220 of 298 forms

Form Title Topics
Patient Safety Reporting (PSR)
PDS Troubleshooting Feedback Form
PDTS Data Report Request Form
Pediatric and Adult Influenza Screening and Immunization Documentation
Pentax endoPRO iQ
PEPR Account Activation Request Form
Personnel Security Branch (PSB) Case Management (CM)
Pharmacy Data Transaction Service (PDTS)
Pharmacy Refill Request and Appointment Reminder Solution (RxRefill)
PIA Navy Medicine Online
PIA Summary for Special Needs Program Management Information System_SNPMIS
Plan of Action and Milestone Template
Potentially Compromised (PC) Temperature Sensitive Medical Product (TSMP) Worksheet
Principal Investigator Certification
Protected Health Information Management Tool (PHIMT)
Protected Health Information Management Tool (PHIMT)
Protocol Continuing Review Template
Protocol Modification Request Template
Purchased Care Operations System (PCOS) - Patient Encounter Processing and Reporting (PEPR)
Purchased Care Operations System (PCOS) - TRICARE Encounter Data (TED)

Contact Information & Office Locations

1 contact point

Main Office

Address:
7700 Arlington Boulevard
Suite 5101
Falls Church, VA 22042-5101

Phone numbers:
  • (800) 600-9332
  • (800) 538-9552

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