Live in the West Region? There is now a referral approval waiver in place through March 31, 2025. Learn More
Also, you have until March 31 to set up your payment info if you pay by EFT, credit card, or debit card. This is for TRICARE Prime, TRICARE Select, TYA, TRS, and TRR plans. If you miss this deadline, you will be disenrolled back to Jan. 1. Visit www.tricare.mil/west today.

Patient Resources

Forms

» DA Forms - https://armypubs.army.mil/ProductMaps/PubForm/DAForm.aspx

» Medical Evaluation Board Proceedings - DA Form 3947 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=1002593

» PEBLO Estimated Disability Compensation Worksheet - DA Form 5892 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=1001088

» Soldier's Medical Evaluation Board/Physical Evaluation Board Counseling Checklist - DA Form 5893 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=1006163

Don’t forget to keep your family’s information up to date in DEERS!