Military / TRICARE Forms

Application for Department of Defense Common Access Card (CAC) or DEERS Enrollment. Establishes beneficiary status for TRICARE eligibility.

Post-Deployment Health Assessment completed by service members within 30 days of returning from deployment. Screens for deployment-related health concerns including mental health, environmental exposures, and injuries.

Post-Deployment Health Reassessment completed 90-180 days after return from deployment. Follow-up screening for emerging health issues including PTSD, TBI, and other delayed-onset conditions.

TRICARE medical claim form for beneficiaries seeking reimbursement when providers do not file claims directly. Must attach itemized bill on provider letterhead. Used by active duty, retirees, and family members.

Enrollment in TRICARE plan options (Prime, Select, etc.) through milConnect or DEERS update. Requires valid military ID.

Application for TRICARE Extended Care Health Option providing supplemental benefits for active duty family members with qualifying disabilities. Covers services beyond standard TRICARE, including applied behavior analysis and institutional care.

Prior authorization for non-formulary medications or formulary drugs with utilization management requirements under TRICARE.

Referral or prior authorization for specialty care, certain procedures, and medications under TRICARE Prime. Not required for TRICARE Select.

Coordination of care for severely injured service members transitioning between DOD and VA healthcare systems. Includes medical records transfer and benefits coordination.