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.