Live in the West Region? There is now a referral approval waiver in place through April 30, 2025. Learn More About The Referral Approval Waiver.

Also, you have until April 30 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

Eisenhower Army Medical Center Forms

School Screening Form-EAMC FM 1066 PDF-F
Download, complete, and bring the EAMC FM 1066 PDF-F along with other required documents to the School Screening appointment.
School Screening Form-EAMC OP 745 PDF-F
Download, complete, and bring the EAMC OP 745 PDF-F along with other required documents to the School Screening appointment.
Over the Counter Medications & Self Care Training
Self Care Item List
System Authorization Access Request (SAAR) Form
Defense Civilian Pay System (DCPS) Non-Payroll Office Access Form
DPH (GA Department of Public Health) form 3300

Defense Health Agency Forms

TRICARE Forms

Download a TRICARE Form

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

Patient Resources

Forms

Eisenhower Army Medical Center Forms

Defense Health Agency Forms

TRICARE Forms

Email Updates

Email Updates

Patient Advocate

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