Behavioral Health

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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.

Behavioral Health Forms

DD Form 2870, Authorization For Disclosure of Medical or Dental Record
DD Form 2870, Authorization For Disclosure of Medical or Dental Record: This form is to provide the Military Treatment Facility/Dental Treatment Facility/TRICARE Health Plan with a means to request the use and/or disclosure of an individual's protected health information.

Download Form
DD Form 2005 Privacy Act Statement
DD Form 2005, Privacy Act Statement requires patient acknowledgement of Privacy Act practices.

Download Form
Telehealth Consent Form
Telehealth Consent Form provides authorization to receive or record telehealth services.

Download Form

Contact Us

Hours

Mon - Fri: 7:30 a.m. - 4:30 p.m.

Triage and Walk-in

Mon - Wed: 7:30 a.m. - 3:30 p.m.
Thu: 9:00 a.m. - 3:30 p.m.

** Times may have changed due to COVID-19. Check out Local COVID-19 Response for more information.

Telephone Number

520-533-5161

Location

2240 E. Winrow Ave.
Ft. Huachuca, AZ 85613

Mental Health Resources

Veteran Crisis Line

CONUS
988, Press 1
Text 838255

OCONUS
Europe: 844-702-5495 or DSN 988
Pacific: 844-702-5493 or DSN 988
Asia: 855-422-7719 or DSN 988

Open to all service members and veterans, even if not enrolled in VA benefits or health care. Long distance or overseas charges may apply. Learn More

Military OneSource

Call 1-800-342-9647

InTransition Program

Call 1-800-424-7877

Email
Live Chat

Psychological Health Resource Center | 24/7

Call 1-866-966-1020

Patient Resources

Behavioral Health Forms

Contact Us

Hours

Triage and Walk-in

Telephone Number

Location

Mental Health Resources

Veteran Crisis Line

Military OneSource

InTransition Program

Psychological Health Resource Center | 24/7

Related Links

Email Updates

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DHA Address