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REPORT OF MENTAL STATUS EVALUATION For use of this form see, AR 4066; the proponent agency is OTSG. SECTION I REASON FOR EVALUATION SelfReferral Advanced Training Application CommandDirected Behavioral.

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How to fill out the Da Form 3822 Fillable online

Filling out the Da Form 3822 Fillable online can be a straightforward process when you have a clear understanding of its sections and the information required. This guide will walk you through each part of the form to ensure accurate and complete submissions.

Follow the steps to accurately complete the Da Form 3822 Fillable online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin with Section I, titled 'Reason for Evaluation.' Select the appropriate reason for the evaluation from the provided options, including self-referral, advanced training application, or command-directed behavioral health evaluation. If applicable, add any additional reasons in the 'Other' section.
  3. Proceed to Section II, 'Fitness for Duty.' Evaluate and check one of the options that best describes the service member's fitness for duty, providing clear information regarding their mental health status and any required limitations.
  4. In Section III, 'Pertinent Findings on Mental Status Examination,' provide detailed observations of the service member's cognition, behavior, perceptions, impulsivity, and dangerousness. Use the provided scales to mark the appropriate levels of impairment or behavior.
  5. Move on to Section IV, 'Impressions.' Here, indicate your professional opinion about the service member’s ability to understand administrative proceedings and whether they require further examination. Check the appropriate boxes.
  6. Document the necessary diagnoses in Section V. Fill in the relevant psychiatric conditions under Axis I, personality disorders under Axis II, and medical conditions under Axis III.
  7. In Section VI, 'Proposed Treatments,' specify any recommendations for follow-up appointments or referrals, or check 'None' if applicable.
  8. Examine Section VII, 'Recommended Precautions,' and mark any precautions that should be implemented to assist the service member based on their current status.
  9. Use Section VIII for any additional comments or important remarks that should be noted regarding the evaluation, conditions assessed, and any necessary follow-up actions.
  10. Before finalizing, review all the information entered for accuracy. Once complete, you can save changes, download the form, print it for physical submission, or share it as needed.

Complete your forms online efficiently and ensure you provide all necessary information for the evaluation process.

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For a complete listing of Army publications and forms, please visit https://armypubs.army.mil/.

da 3822 army A February 1980 DA Form 3822-R, report of mental status evaluation, reflects that the Veteran did not have a significant mental illness, ...

DA Form 2142, Pay Inquiry, is a document submitted by the service members when they have questions or concerns regarding their payments.

DA Form 2446, Request for Orders, is a form used to request orders within the U.S. Army if a separate request for orders is determined to be necessary.

(1) RA enlisted status to Reserve active officer or warrant officer status, and ... ( a) DA Form 3340-R (Request for Reenlistment or Extension in the Regular Army). .... (7) Ensure all soldiers scheduled for separation from the Active Army are ... Enlisted Separations Process - Army HRC.

A fillable DA 3955 Form is used as a change of address form for Army soldiers. Also known as a Change of Address and Directory Card, the completed form helps soldiers ensure that their mail is delivered. The person completing the form can also request whether their new address should be kept private.

What is DA 31 form? The purpose of the DA 31 form is to authorize military leave; document the start and stop of such leave; record address and telephone number where a soldier may be contacted in case of an emergency during leave; and certify leave days chargeable to a soldier's leave account.

Visit http://.e-publishing.af.mil/ To access their Forms.

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