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DA Form 3822 Report of Mental Status Evaluation
What Is DA Form 3822?
This is a military form that was released by the U.S. Department of the Army (DA) on June 1, 2019. The form, often mistakenly referred to as the DD Form 3822, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.
FAQ
Q: What is DA Form 3822?A: DA Form 3822 is a form used to report the results of a mental status evaluation.
Q: Who uses DA Form 3822?A: The form is used by healthcare providers to document the results of mental status evaluations.
Q: What is the purpose of a mental status evaluation?A: The purpose of a mental status evaluation is to assess a person's current mental state, including their thoughts, perceptions, mood, and behavior.
Q: What information does DA Form 3822 collect?A: DA Form 3822 collects information about a person's appearance, speech, thought processes, memory, orientation, mood, and any signs of abnormal thinking or behavior.
Q: Can anyone request a mental status evaluation?A: Typically, a mental status evaluation is requested by a healthcare professional, such as a doctor or psychiatrist, based on concerns about a person's mental well-being.
Q: Is DA Form 3822 confidential?A: Yes, the information collected on DA Form 3822 is considered confidential and protected by privacy laws.
Q: Do I need to fill out DA Form 3822 myself?A: No, DA Form 3822 is typically completed by a healthcare provider who conducts the mental status evaluation.
Form Details:
- A 2-page document available for download in PDF;
- The latest version available from the Army Publishing Directorate;
- Editable, free, and easy to use;
- Fill out the form in our online filing application.
Download an up-to-date fillable DA Form 3822 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 3822 Report of Mental Status Evaluation
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