Please note that although this is a secure site, we ask that you not add protected health information (PHI) or personally identifiable information (PII) in your message to us. This includes information such as:
For information on how the Military Health System protects your sensitive information, visit the Defense Health Agency Privacy and Civil Liberties Office.
Complete the Contact Form below and we will respond as soon as possible.
* Denotes Required Field
Your 15 minute session will timeout in approximately 10 minutes.
If you're in the middle of entering information, please close this warning and save your progress (if possible) or finish up your task.
If your session fully times out, you will lose any un-saved work.
Your current Blast Injury Research Program session has expired.
Your next click will take you away from the private area, and you will lose any work you have in-progress.
Please enter your email address, and try again.