DA Form 3822, Report of Mental Status Evaluation - or the Army mental status evaluation form - is an official Department of Army (DA) form used to document the results of a service member's behavioral health evaluation. The latest version of the form - often incorrectly referred to as the DD Form 3822 - was released by the DA in March 2017. An up-to-date DA Form 3822 fillable version can be downloaded below.
The DA Form 3822 is a document that incorporates key components required for proper diagnosis of the service member's behavioral health. It is used by Army behavioral health providers as a part of the clinical assessment process in psychiatric practice to receive a clear cross-sectional description of a service member's mental status. This document provides the behavioral service provider with a convenient and structured means to observe, analyze, evaluate, and document the patient's mental state through cognition, perception, behavior, attitude, judgment, insight, and other indications.
The DA 3822 is the only valid form that can be used by behavioral health providers within a Military Treatment Facility to document a behavioral or mental health status of a service member. It is the only document that complies with mandatory school evaluation requirements, administrative separation requirements, and command-directed evaluations. No alternative forms are authorized.