Desmond T. Doss Health Clinic - Forms

PCMH Welcome Letter
 
Clinic Information Sheet

E-EFMP Sponsorship and Enrollment Instructions
 
DD 2870 Authorization for disclosure of medical or dental information

Telehealth Consent Form

BH - Patient Health Questionnaire

 

PCMH Welcome Letter
E-EFMP Sponsorship and Enrollment Instructions

AWC Overview 2-sided Brochure

Instructions for AWC Appointment

Understanding Your Hearing Test

Earplug Ordering Information for Units

Family Advocacy Brochure

Limits of confidentiality and privacy act  (These forms will be reviewed at your first appointment)

Breast Cancer Screenings

ANAM brochure (official ANAM brochure- provides purpose, background and overview of ANAM)

Initial intake questionnaire (Provides us with background information that would take hours to get from your medical record.  We appreciate the time and effort you put forth to be detailed and complete when filling out this form.)

Follow up intake questionnaire (A shorter version for follow up with many questions which we are required to ask at each visit.)

Anti-Inflammatory diet handout (Instructions on how to incorporate this overall healthy diet into your care to help with your pain management.)

PRP information and instructions (Information and instruction sheet for those planning to receive platelet rich plasma therapeutic injections.)

Optometry FAQ

OB registration packet To fill out/turn in and to follow along during appointment. 
Same Day Evaluation Clinic number/hours
Pregnancy Weekly Appointment List
Postpartum Depression Brochure
Breastfeeding Resources
Classes offered
HPCON C visitation memo
Nausea and Vomiting in the first trimester
Over the Counter medication list
Exercise During and After Pregnancy
Depoprovera Perpetual Calendar
How do I get a breastpump

DDHC Welcome Letter – gives basic information on how new arrivals in Hawaii get started with TRICARE.  Letter has a variety of other good information.

Beneficiary Web Tools Guide

DDHC Troop Immunizations Vaccination Form

 

Adult Nutrition Questionnaire

Food Journal

Pediatrician Nutrition Intake

Appointments

888-683-2778

If you experiencing an emergency, call 911

Location:

Desmond T. Doss Health Clinic
683 Waianae Ave., Schofield Barracks, HI., 96786

Frequently Called Numbers

Emergency Room (Tripler)

808-433-3710

Urgent Care (Schofield Barracks)

808-433-8850

Ambulance

808-433-5700

Hearing Impaired Line

808-433-5767

Customer Relations

808-433-8504