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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the date in YYYYMMDD format at the top of the form. This is crucial for record-keeping.
- Fill in the 'To' and 'From' fields with the appropriate names or titles, ensuring clarity on who is requesting and receiving the evaluation.
- In the 'Purpose of evaluation' section, specify the reason for the mental health evaluation, selecting from options like command-directed evaluations or fitness for duty.
- Complete Section A — Personal Data by providing details such as name, grade, SSN, organization, and enlistment date. Accuracy here is essential.
- Move to Section B — Behavioral Report. Describe any noticeable changes in behavior and interactions with others. Use block 28 for additional comments if necessary.
- Finally, ensure all required signatures are obtained before submitting your completed form.
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