Get Military Onesource Case Activity Form - Valueoptions

Filling out the Military OneSource Case Activity Form - ValueOptions can be a straightforward process with the right guidance. This guide provides clear instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully fill out the form online.

1. Click 'Get Form' button to access the form and open it for editing.
2. Begin by completing the 'Participant Information' section. Provide the last name, first name, middle initial, address, city, state, ZIP code, date of birth, and home phone number of the participant.
3. Indicate the participant's gender by selecting 'Female' or 'Male' and include the service member's name if applicable, entering their last name, first name, and middle initial.
4. Fill in the 'Billing Information' section. List the dates of service in the specified format, along with the authorization number, and details about the MOS counselor, including their name, billing address, tax ID number, and phone number.
5. In the 'Presenting and Assessed Problem' section, choose one presenting problem (P) and one assessed problem (A) from the listed options.
6. Complete the 'Type of Counseling Provided' section by selecting the appropriate option(s) and answering whether the military identification card was verified.
7. Indicate whether the member has any diagnosis on Axis I or II and if the issues are related to deployment or reintegration.
8. Conduct a risk and functional assessment by marking the participant's level of impairment at both case opening and closing for various conditions.
9. Document the counseling goals and their status for each goal before moving on to the treatment history assessment.
10. Provide relevant notes on treatment history and assess various supports that were offered.
11. Complete the closing section by indicating the case disposition and referral type, if applicable.
12. Finally, ensure all sections are filled out accurately. Review the form for completeness, and then save your changes. You can choose to download, print, or share the form as necessary.

Start filling out your Military OneSource Case Activity Form - ValueOptions online today.