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Naval Health Clinic Hawaii
Naval Health Clinic Hawaii
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TRICARE
Attention! If you live in the TRICARE West Region, or in a state or ZIP code moving to the West Region and you pay an enrollment fee or premium by recurring credit card, debit card, or electronic funds transfer, you must
set up payment information with TriWest
before
Dec. 31, 2024.
If you don’t take action, you’ll risk getting disenrolled.
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Authorization for Disclosure of Medical or Dental Information Form
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DHA Form 116: Pediatric and Adult Influenza Screening and Immunization Documentation
DHA Form 207: COVID-19 Vaccine Screening and Immunization Document
DHA Form 236: Pediatric (6 months-11 years) COVID-19 Vaccine Screening and Immunization
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DEERS
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