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. Learn more.

Patient Resources

Forms

Please find your necessary forms here. Fill-out and bring a copy with you to your appointment. If you are unable to print, please do NOT e-mail the forms. Instead, please send them to your care team over secure message on TOL.

Raymond W. Bliss AHC Forms

Defense Health Agency Forms

TRICARE Forms

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