Patient Resources

Brooke Army Medical Center Forms

Patient Administration Forms

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

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

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

    Download Form

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

    Download Form

TRICARE Forms

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