Official websites use .mil
Secure .mil websites use HTTPS
Toggle navigation Directives Home
TO OBTAIN A COPY OF THIS FORM, PLEASE CONTACT THE ASSISTANT SECRETARY OF DEFENSE FOR HEALTH AFFAIRS (HA).
FORM INFORMATION
Form Number: DD 3201-1A
Title: MHS Modified Payment and Waiver Program (MPWP) Medical Skills Sustainment Scoring Worksheet
Edition Date: 03/06/2026
For use of this form please contact: The Assistant Secretary of Defense for Health Affairs (HA)