Brooke Army Medical Center Forms

Patient Administration Forms

Medical Evaluation Board Proceedings
Medical Evaluation Board Proceedings - DA FORM 3947

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PEBLO Estimated Disability Compensation Worksheet
PEBLO Estimated Disability Compensation Worksheet - DA Form 5892

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Soldier's Medical Evaluation Board/Physical Evaluation Board Counseling Checklist
Soldier's Medical Evaluation Board/Physical Evaluation Board Counseling Checklist - DA Form 5893

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Third Party Collection Program Form

Third Party Collection Program/Medical Services Account/Other Health Insurance
Third Party Collection Program/Medical Services Account/Other Health Insurance DD Form 2569

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TRICARE Forms

Download a TRICARE Form

Don't forget to keep your family's information up-to-date in DEERS.