Get Da Form 4466

Filling out the Da Form 4466 online can streamline the process of documenting patient progress within the Army Substance Abuse Program. This guide will provide you with clear, step-by-step instructions to ensure accuracy and compliance while completing the form.

Follow the steps to fill out the Da Form 4466 correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section I, enter the date of report in the format YYYYMMDD. Fill out the patient identification details and the service area code. Choose a reason for the report by checking the appropriate box based on the patient's situation.
3. If reporting a patient PCS/reassignment, complete sections II and VII. For a change in diagnosis, fill in the relevant fields in section III, including the physician's diagnosis and code.
4. In Section IV, indicate the enrollment details, while in Section V, provide inpatient RTF enrollment information, including the facility name and discharge date.
5. Section VI requires input regarding the counselor's recommendation, as well as the commander's appraisal of performance. Check the appropriate boxes for treatment decisions.
6. Finally, in Section VII, document the reason for release from the program, provide assessments from the commander and counselor, and get the necessary signatures from relevant parties in the form.

Complete your documents online with ease and confidence.