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Naval Hospital Yokosuka

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We have a priority appointment process in place for care at Naval Hospital Yokosuka. Learn More.

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Forms

NH Yokosuka Forms

POMI Comment Card
PHA Information
DD 2792
Instructions for Completing DD form 2792
Family Member Medical Summary
DD 2792-1
Instruction for Completing DD Form 2792-1
Exceptional Family Member Special Education/Early Intervention Summary
COVID-19 Vaccine Screening Form (DHA 207v10)
HPV Vaccine
PAP Information
NMRTC Yokosuka TJC Pocket Guide
DD2569
USNMRTC Twice A Day Dental Chart
DHA Form 116
Student Sports Physical Package

Defense Health Agency Forms

DHA Form 116: Pediatric and Adult Influenza Screening and Immunization Documentation
DHA Form 207: COVID-19 Vaccine Screening and Immunization Document
DHA Form 236: Pediatric (6 months-11 years) COVID-19 Vaccine Screening and Immunization

TRICARE Forms

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U.S. Naval Hospital Yokosuka
PSC 475 Box 1 FPO AP Yokosuka,
JAPAN 96350-1600

Stay Connected

EMERGENCY CONTACTS
In an emergency, from an on-base DSN phone call: 9-1-1
From a local cellphone or landline call: 046-816-0911

AS A REMINDER…if plan to visit the hospital or any of its respective clinics and/or offices, please bring your own masks if you are sick or have concerns that you or your family may have COVID. However, if are up to date with your COVID-19 boosters, which must include a bivalent vaccine dose, and are healthy wearing a mask is optional.

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