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92nd Medical Group - Fairchild Air Force Base
92nd Medical Group - Fairchild Air Force Base
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Operational Medicine Flight – Flight Med Clinic
Operational Medicine Flight – Warfighter Clinic
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Forms
Fairchild AFB Forms
DD Form 2569
Interested in helping fund services at the 92d Medical Group (92 MDG)? If you have Other Health Insurance (OHI) other than TRICARE, Medicare, or Medicaid, you may be able to help!
Our Third Party Collections (TPC) program attempts to capture OHI information on a
DD Form 2569
. Once you fill out a
DD Form 2569
with your OHI information, our Uniform Business Office (UBO) will coordinate billing your insurance company for the services you receive from the 92 MDG at no cost to you!
Defense Health Agency Forms
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
TRICARE Forms
Download a TRICARE Form
Don't forget to keep your family's information up-to-date in
DEERS
.