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ELECTRONIC PHA Module

ELECTRONIC PHA Module. Member Portion Requirements. Complete the form by answering all required questions. A partially completed form cannot be saved and finished later. It takes approximately 15 minutes to complete the form.

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ELECTRONIC PHA Module

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  1. ELECTRONIC PHA Module

  2. Member Portion Requirements • Complete the form by answering all required questions. • A partially completed form cannot be saved and finished later. • It takes approximately 15 minutes to complete the form. • Required tabs are Demographics, Allergies, Overall Health, Preventive Health, Behavioral Health, and Family History.

  3. Click on one of these log-in methods

  4. Click here

  5. Click here

  6. Click here. Begin PHA.

  7. Addl. Instructions • Once Complete, click “SUBMIT” • The PHA is not finalized until you have completed a “face-to-face” consultation with a medical provider (Physician/Physician’s Assistant only). • The face-to-face consultation must be performed within6 MONTHSof your submitted e-PHA.

  8. FAQ (cont). • Who will see the information I enter on the PHA? The only people that will see what you enter will be the Non-Credentialed Provider and the Credentialed Provider. • Will my answers be kept confidential? Everything you enter will be kept between you and your Provider. • My information on the demographics page is incorrect and I cannot change it. What do I do? Contact your Unit Commander and let them know what information needs to be corrected.

  9. FAQ (cont). • What do I answer for allergies if I have never been tested or do not know if I have allergies? Select None and discuss this with the provider when you meet with them to complete the PHA. • How much information do I need to enter for a yes response in Overall Health? Please provide as much detailed information as possible.

  10. FAQ (cont). • What are supplements? Supplements are any vitamins and/or minerals that you take or have taken in the past 30 days. • What kind of information do I need to enter if I answer yes or select a checkbox in Overall Health? Enter all relevant information related to the question or item selected. Give as much detailed information as possible.

  11. FAQ (cont). • How often is sometimes and alot for the tobacco and alcohol questions? Alcohol - Consuming more than two alcoholic beverages three or more times a week is considered alot. Anything less is considered sometimes.Tobacco - Smoking or chewing daily is considered alot, anything less is considered sometimes. • What is the unknown checkbox for in Family History? If you do not know the medical history of your biological family, unknown is the appropriate option to select. • Do I have to print the form? You are not required to print the form, unless you are taking it to a TRICARE Prime Remote Provider. If your PHA will be completed by a TRICARE or other Civilian Provider, you will need to print a copy of the form for them to fill out. If you want a copy of your form, you can print it for your personal records.

  12. FAQ (cont). • What do I need to bring with me when I meet with the medical provider? You need to bring any medications and supplements you are currently taking or have taken in the past 30 days. • Why didn't my form save and complete when I clicked the Submit button? Your form did not save and complete because there is one or more tabs with errors. The errors could be a tab you did not answer or a question that requires comments to a yes answer. All tabs that have errors are listed below the submit button. Click on the tab with errors; listed at the top of the tab is information regarding the error. Fix all the errors and click submit. You cannot complete the form until you fix all of the errors. • How do I know that my form is saved and completed? A message stating your portion is complete is listed below the submit button. In addition, you will be unable to enter information in any of the fields.

  13. FAQ (cont). • Is the TBI Questionnaire required for everyone? Only Soldiers, who answer yes to Question 1 in the Overall Health section, are required to complete the TBI. • Can I select more than one related result in the Injury Event section? Yes. Select all that apply to your injury.

  14. QUESTIONS? 1LT Leif Rivera Deputy State Surgeon – GA 404-295-7517

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