Patient Resources

Forms
FAQs
Policies
Customer Service / Patient Relations
Beneficiary Assistance / Enrollment
DHA Office of the Inspector General
EDIS
EFMP
Fisher House
Healthcare Resolutions
MHS Notice of Privacy Practices
Pastoral Care
Patient Administration / Medical Records / Birth Certificates
Patient & Family Partnership Council (PFPC)
Patient Rights & Responsibilities
Referral Management
Related Links
Virtual Education Center

Forms

When dropping off forms to be completed by your provider, allow 3-5 business days for completion.
Allow up to 10 days for EFMP & Overseas Screening forms.

Pediatrics Forms

Defense Health Agency Forms

DHA Form 3111 - Routine Immunization Screening Form: Adult
DHA Form 3110 – Routine Immunization Screening Form: Pediatric

TRICARE Forms

Download a TRICARE Form

Contact Us

Mailing Address

Naval Medical Center Camp Lejeune
100 Brewster Blvd.
Camp Lejeune, NC 28547-25381630

Appointment Line

910-450-HELP (4357)

MHS NURSE ADVICE LINE
1-800-TRICARE (option 1)

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