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Click ‘Get Form’ to open DA Form 3822 in the editor.
Begin with SECTION I - REASON FOR EVALUATION. Select the appropriate reason for evaluation, such as 'Self-Referral' or 'Command-Directed Behavioral Health Evaluation'.
Move to SECTION II - FITNESS FOR DUTY. Indicate the service member's fitness status by selecting one of the options provided, ensuring clarity on any necessary waivers or limitations.
In SECTION III - PERTINENT FINDINGS ON MENTAL STATUS EXAMINATION, assess and document cognition, behavior, perceptions, impulsivity, and dangerousness based on your observations.
Proceed to SECTION IV - IMPRESSIONS. Provide your professional opinion regarding the service member's understanding of administrative proceedings and their medical retention requirements.
Complete SECTION V - DIAGNOSES by filling in any required psychiatric conditions under AXIS I, II, and III.
Fill out SECTION VI - PROPOSED TREATMENTS by indicating follow-up appointments or referrals as necessary.
In SECTION VII - RECOMMENDED PRECAUTIONS, specify any precautions that should be followed until deemed unnecessary by a Behavioral Health Provider.
Finally, add any additional comments in SECTION VIII that may be relevant to the service member's evaluation and treatment plan.
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