
REPORT OF MENTAL STATUS EVALUATION For use of this form, see AR 40 66; the proponent agency is OTSG. SECTION I REASON FOR BEHAVIORAL HEALTH EVALUTION Select Reason for MSE Other: SECTION II BEHAVIORAL.
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How to fill out the Da Form 3822 online
The Da Form 3822 is an essential document for the report of mental status evaluation, used within military contexts to assess behavioral health. This guide provides clear instructions to assist users in accurately filling out the form online.
Follow the steps to complete the Da Form 3822 online.
- Press the ‘Get Form’ button to begin your process of obtaining the form and access it in a user-friendly editor.
- In section I, select the reason for the behavioral health evaluation. Ensure you accurately reflect the circumstances leading to the evaluation.
- Move to section II, where you must provide determinations regarding the behavioral health disposition. Make selections based on the service member's current status and any applicable medical retention standards.
- In section III, document pertinent findings from the mental status evaluation. You will check boxes indicating the presence or absence of various health conditions, cognition levels, and behavioral assessments.
- Proceed to section IV to report any relevant diagnoses for behavioral health and other medical conditions that support your findings in section II.
- In section V, recommend any necessary follow-up actions. Indicate if follow-ups are needed and include relevant details such as clinic location and appointment times.
- Complete section VI by commenting on recommendations for the commander. This may include safety precautions and any necessary actions to support the service member.
- Before finalizing, review each section for accuracy and completeness. Once satisfied, you can save changes, download the form, print it, or share it as required.
Complete your documents online today for efficient and organized management.
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Oct 13, 2004 - DA Form 3822-R, Report of Mental Status Evaluation, 18 Jun 03, wirich...
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