SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR)
the PHA, Mental Health Assessment (MHA) Training Certification, and HIPAA Training below. Requests will be rejected without this confirmation. It is the responsibility of the Supervisor to maintain the training requirements. For access, Supervisor must be a Department Head or someone with By direction authority. Please Select Role Type:
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Department of Defense Periodic Health Assessment (DoD PHA ...
data.nmcphc.med.navy.milCPT Code: 96160- Prev Med Administration of Health Risk Questionnaire E/M Code: 99441(5-10min of medical discussion) 99442(11-20min of medical discussion) 99443( 21-30min of med discussion) Example 2: In-Clinic MHA/PHA Patient completes PHA self-assessment online, but requests a face-to-face MHA/PHA appointment.
PHA Requesting Record Reviewer, MHA Provider, or Provider
data.nmcphc.med.navy.milusn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-phahelpdesk@mail.mil. Step 7 Once the request is confirmed, NMCPHC will email you confirmation of additional access. PHA Help Desk: usn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-phahelpdesk@mail.mil Phone number 757 953 0737 DSN 377
Periodic Health Assessment
data.nmcphc.med.navy.milusn.hampton-roads.navmcpubhlthcenpors. list.nmcphc-phahelpdesk@mail.mil Phone number 757 953 0737 DSN 377 Requesting Additional Access To request access to PHA as a Record Re-viewer, MHA Provider, or Health Care Pro-vider (HPC), complete the OPNAV 5239/14 (SAAR) located on the PHA homepage. Block 15-16 of the SAAR forms should be
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SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR)
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www.opm.govAuthorization, Agreement, and Certification of Training A. Agency code, agency sub-element and submitting office number B.Request Status Section A – Trainee Information 1.Applicant's Name (Last, First, Middle Initial) 2. Social Security Number (###-##-####) (Agency Use Only) 3. Date of Birth (Enter Date as yyyy-mm-dd) (Agency Use Only)