The most recent appropriations for the Department of War expired at 11:59 p.m. EST on September 30, 2025. Military personnel will continue in a normal duty status without pay until such time as a continuing resolution or appropriations are passed by Congress and signed into law. Civilian personnel not engaged in excepted activities will be placed in a non-work, non-pay status.

The Pediatrics Primary Care Clinic Waiting Room will be closed from November 6 to November 14, 2025.
Alternative Waiting Room space during these dates will be located at the Reproductive Endocrinology and Infertility (REI) waiting room, situated next to the Pediatrics Clinic.
Alternative Waiting room space will be limited. We are requesting that patients bring only legal guardians to appointments, there will be no space available for visitors or helpers to sit or stand.

Patient Resources

Forms

Womack Army Medical Center Forms

Patient Pre Appointment Questionnaire
Please feel free to print out and complete the Patient Pre-Appointment Questionnaire and bring it to your appointment.
New Bariatric Patient Packet
Physical Therapy Forms
- Physical Therapy Patient Intake Form
- Neck and Upper Back
  Please complete this form if is relevant to your visit, prior to your physical therapy appointment.
- Upper Extremity
  Please complete this form if is relevant to your visit, prior to your physical therapy appointment.
- Lower Extremity
  Please complete this form if is relevant to your visit, prior to your physical therapy appointment.
- Low Back
  Please complete this form if is relevant to your visit, prior to your physical therapy appointment.
Vestibular Questionnaire
Dizziness Handicap Inventory
Sleep Intake Questionnaire
Interdisciplinary Pain Management Clinic
- New Patient Orientation Presentation
- New Patient Orientation Packet
Late Policy
DD Form 2138
DD Form 2569
DD Form 2870

DOD Forms

Defense Health Agency Forms

DHA Form 116: Pediatric and Adult Influenza Screening and Immunization Documentation

TRICARE Forms

Download a TRICARE Form

Having problems downloading a Form?

If you’re getting an error message when downloading a form, then try:

Updating your Adobe Acrobat or Adobe Reader.
Downloading the file using Microsoft Edge. Chrome, Firefox, and other browsers no longer support opening PDFs.

If that doesn’t work, right-click on the form you’re trying to download and select “save-as” to save the form to your computer.

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

Patient Resources

Forms

Womack Army Medical Center Forms

DOD Forms

Defense Health Agency Forms

TRICARE Forms

Having problems downloading a Form?

Email Updates

Patient Advocate

Need to Submit a Claim?

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DHA