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Get Da 4465 2001-2025
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How to fill out the DA 4465 online
Filling out the DA 4465 form online is a crucial step for users seeking treatment through the Army Substance Abuse Program. This guide provides a comprehensive overview of the sections and fields of the form to ensure accurate completion.
Follow the steps to successfully complete the DA 4465 form online
- Click the ‘Get Form’ button to obtain the DA 4465 form and open it in the editor.
- In Section I - Identification, provide the patient identification details: enter the date enrolled/screened, date of birth, service area code, name of the community counseling center, and check the eligibility category based on your status.
- Continue in Section I by checking the case finding method; select between bio-chemical or non bio-chemical options.
- Move to Section II - Military Personnel and Civilian Employee Data. Here, specify the sex, component, civilian employee status, grade, and patient MACOM. Indicate consent to release information by either agreeing or disagreeing.
- Section III is for drug/alcohol diagnosis. If applicable, list the primary diagnosis, provide the diagnosis code, and enter the typed name and grade of the physician along with their signature.
- In Section IV - Enrollment Decision, choose the basis for enrollment/screening, and state the enrollment facility, selecting from community counseling centers, adolescent counseling services, or civilian facilities.
- Finally, provide the reason for not enrolling, if applicable, and ensure the signatures of the counselor and clinical director are included.
- Once all fields are completed, you can save your changes, download, print, or share the form as necessary.
Complete your documents online to facilitate timely processing.
Filling out a G form requires collecting relevant information about your military service. Once you have everything ready, carefully enter your information, paying close attention to detail. Ensure that you review it for accuracy before submission. The DA 4465 platform offers tools and templates that can help streamline the G form completion process.
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