Live in the West Region? You still have time to set up your payment info if you pay by EFT, credit card, or debit card. If you have TRICARE Prime, TRICARE Select, TRICARE Young Adult, TRICARE Reserve Select, or TRICARE Retired Reserve, you now have until Feb. 28. If you miss this deadline, you will be disenrolled back to Jan. 1. Visit www.tricare.mil/west today.

Patient Resources

Forms

Naval Health Clinic Oak Harbor Forms

Please contact the clinic for forms you need by calling (360) 257-9554 or by email at usn.whidbey-island.navhospoharwa.list.pao@mail.mil

Defense Health Agency Forms

(insert MTF name) Forms

  • Active Duty Dental Claim Form (531KB .PDF)
    United Concordia's network dentists will file a claim on your behalf. If you are approved to utilize a non-network dentist, you may be required to submit your own claim form. United Concordia's network dentists will file a claim on your behalf.

    Download Form
  • Child Central Auditory Processing Questionnaire
    WAMC Form 5004 - Child Central Auditory Processing Questionnaire

    Download Form

TRICARE Forms

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