An official website of the United States government

Here's how you know

Official websites use .mil

A .mil website belongs to an official U.S. Department of Defense organization in the United States.

Secure .mil websites use HTTPS

A lock () or https:// means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.

Patient Resources

Forms

Authorization for Disclosure of Medical or Dental Information (54.9KB .PDF)
This form is to provide the Military Treatment Facility/Dental Treatment Facility/TRICARE Health Plan
with a means to request the use and/or disclosure of an individual's protected health information.

Download Form
Required New York State School Health Examination Form (340 KB .PDF)
NYSED requires a physical exam for new entrants and students in Grades Pre-K or K, 1, 3, 5, 7, 9 & 11; annually for interscholastic sports; and working papers as needed; or as required by the Committee on Special Education (CSE) or Committee on Pre-School Special Education (CPSE).

Download Form
More

Need to Update Your Information in DEERS? Click Here