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TRICARE Transition Challenges in the West Region
We are aware of the customer service issues our patients are experiencing in the West Region. Learn more about how we are fixing these issues, including waiving our usual authorization process through March 18.

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Bread Crumbs

Briefing Request Form

* Denotes a required field

* Select a Region

Briefing Type

* Select a Target Audience
* Projected # of Attendees must be filled in
* Select a Time of Requested for Briefing
* Select a Briefing Format

Briefing Date

* Requested Briefing Date must be filled in
* Requested Briefing Start Time must be filled in
* Requested Briefing End Time must be filled in
* Alternate Briefing Date must be filled in
* Alternate Briefing Start Time must be filled in
* Alternate Briefing End Time must be filled in

Briefing Location

* Building Number must be filled in
* Street must be filled in
* City must be filled in
* Select a State
* ZIP Code must be filled in
* Enter a valid ZIP Code

Unit Information

* Select a Branch of Service
* Unit Name and UIC must be filled in
* Building Number must be filled in
* Street must be filled in
* City must be filled in
* Select a State
* ZIP code must be filled in
* Enter a valid ZIP Code

Point of Contact

* POC Name must be filled in
* POC Phone must be filled in
* Enter a valid phone number
* POC Email must be filled in
* Enter a valid email address
* Alternate POC Name must be filled in
* Alternate POC Phone must be filled in
* Enter a valid phone number
* Alternate POC Email must be filled in
* Enter a valid email address

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Last Updated 12/18/2017