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Collecting the personal information requested by this form and how it may be used. AUTHORITY: 10 U.S.C. 1074f, Medical Tracking System for Members Deployed Overseas; 10 U.S.C. 1074m, Mental Health Assessments for Members of the Armed Forces Deployed in Support of a Contingency Operation; DoDI 6490.03, Deployment Health; DoDI 6490.12, Mental Health Assessments for Service Members Deployed in Connection with a Contingency Operation; and E.O. 9397 (SSN), as amended.. PURPOSE: Your information.

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How to fill out the Dd2978 online

The Dd2978 is a crucial form for individuals undergoing mental health assessments, specifically for those who have been deployed. This guide offers clear and concise instructions to help users fill out the form easily and accurately in an online format.

Follow the steps to complete the Dd2978 effectively.

  1. Press the ‘Get Form’ button to acquire the Dd2978 and access it within your preferred digital editor.
  2. Begin with the demographics section. Fill in your last name, first name, middle initial, Social Security number, today's date, and date of birth. Select your gender, service branch, component, and pay grade from the options available.
  3. Provide your home station or unit information, along with your current contact information, including multiple ways for a point of contact to reach you (phone numbers, email address, and physical address).
  4. In the deployment section, indicate the primary location of your last deployment and the date you departed the theater. You will also need to specify the total number of deployments you have had in the past five years.
  5. Answer the mental health-related questions as prompted. It's crucial to answer all questions truthfully based on your most recent experiences. If you encounter any uncertainties, it might be helpful to consult with a healthcare provider.
  6. Complete the medication inventory by listing any prescription or over-the-counter medications you are currently taking. Indicate if you are not taking any medications.
  7. Engage in the evaluation questions about your alcohol consumption and any experiences relating to stress or trauma. Carefully read through these sections and mark your responses accurately.
  8. Once all sections are completed, review your responses for accuracy and completeness. Make any necessary edits to ensure everything is correct.
  9. After completing the form, you will have the option to save your changes, download the form for your records, print it for submission, or share it as needed.

Complete your Dd2978 online today to ensure your mental health assessment is processed efficiently.

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PHA is a four part assessment including a self-reported health assessment, record review, mental health review, and a face-to-face or person-to-person consultation with a certified PHA health care provider.

The electronic questionnaire portion of each DHA is accessed online through MODS/ MHA portal and the “Forms” tab will direct you to appropriate electronic form in MEDPROS. For the Pre-DHA, the electronic form is DD2795.

ANNUAL PERIODIC HEALTH ASSESSMENT PRIVACY ACT STATEMENT. Privacy Act Statement: DD Form 3024 will collect PII that is stored in active duty and reserve servicemembers' medical and military personnel. records, a system of records, and retrieved by a personal identifier.

Purpose: The purpose of this form is to report on the annual Periodic Health Assessment (PHA) which includes record review/verification, assessment and counseling of avoidable health risk factors, clinical preventative services (CPS) recommendations, deployment/operational health history, and individual medical ...

Call DSN 314 590-8477 or 49-6371-9464-8477 to set up a date for PHA call in or VTC appointment.

DD 2796 Post Deployment Health Assessment. To be completed between 30 days before and 30 days after return from deployment. DD 2900 Post Deployment Re-Assessment (PDHRA) To be completed between 90-180 days after returning from deployment. DD 2978 Deployed Mental Health Assessment (DMHA)

Principal Purpose: To assess your state of health before possible deployment outside the United States in support of military operations and to assist military healthcare providers in identifying and providing present and future medical care to you.

The Official DoD Website for DoD Forms Directives Home. FORM INFORMATION. Form Number: DD 2978. Title: Deployment Mental Health Assessment. Edition Date: 07/01/2022.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232