Department of the Army Form 3822 Mental Status Evaluation
This file provides guidance on the use of DA Form 3822 for mental health evaluations in the Army. It includes valuable references and background on behavioral health documentation. It is essential for military healthcare providers tasked with evaluating patients' mental health status.
Edit, Download, and Sign the Department of the Army Form 3822 Mental Status Evaluation
Form
eSign
Add Annotation
Share Form
How do I fill this out?
Filling out the DA Form 3822 involves accurately providing a patient's information and mental health status. Ensure that all fields are completed thoroughly to aid in the evaluation process. Review the instructions carefully to ensure compliance with Army regulations.
How to fill out the Department of the Army Form 3822 Mental Status Evaluation?
1
Gather the necessary patient information.
2
Complete each section of the form as instructed.
3
Check the appropriate boxes that detail the patient's behavior and mental state.
4
Review the completed form for accuracy.
5
Submit the form as per the provided guidelines.
Who needs the Department of the Army Form 3822 Mental Status Evaluation?
1
Military healthcare providers to document mental health evaluations.
2
Commanders for administrative decisions involving soldiers.
3
Personnel involved in discharge processes due to behavioral issues.
4
Psychiatrists and psychologists conducting assessments.
5
Administrative staff managing mental health records.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Department of the Army Form 3822 Mental Status Evaluation along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.
Edit your Department of the Army Form 3822 Mental Status Evaluation online.
You can easily edit this PDF on PrintFriendly by using our intuitive editing tools. Modify text, checkboxes, and other fields quickly and efficiently. Our platform makes it simple to customize the document to meet your needs.
Add your legally-binding signature.
Easily sign your PDF on PrintFriendly with our integrated signing feature. Add your digital signature directly onto the document with just a few clicks. Signing is straightforward and ensures your form is completed correctly.
Share your form instantly.
Sharing your PDF on PrintFriendly is effortless. Generate a shareable link to distribute the document with others. Collaborate with your team by granting them access to the editable PDF.
How do I edit the Department of the Army Form 3822 Mental Status Evaluation online?
You can easily edit this PDF on PrintFriendly by using our intuitive editing tools. Modify text, checkboxes, and other fields quickly and efficiently. Our platform makes it simple to customize the document to meet your needs.
1
Open the PDF in PrintFriendly.
2
Click on the text or checkbox you want to edit.
3
Make your changes directly on the document.
4
Save your edits as you go.
5
Download the final version of the PDF when finished.
What are the instructions for submitting this form?
To submit DA Form 3822, ensure that all required fields are completed accurately. The completed form should be sent to the appropriate medical facility or commander’s office via email or fax. It is crucial to adhere to submission deadlines outlined in Army guidelines to avoid delays in processing.
What are the important dates for this form in 2024 and 2025?
The DA Form 3822 is effective immediately and remains valid. Ensure you are aware of the expiration date, which is set for the 28th of April, 2013. Regular updates and reviews of the requirements may follow every three years.
What is the purpose of this form?
The purpose of DA Form 3822 is to facilitate the standardized assessment of a soldier's mental health status. It provides a structured approach to evaluating behavioral health concerns in military settings. By using this form, healthcare providers can ensure compliance with Army regulations and facilitate appropriate mental health interventions.
Tell me about this form and its components and fields line-by-line.
- 1. Name: The name of the soldier being evaluated.
- 2. Grade: The rank of the soldier.
- 3. Reason for Evaluation: The purpose of the mental status evaluation.
- 4. Behavior: Observations on the soldier's behavior during assessment.
- 5. Level of Alertness: Assessment of the soldier's alertness.
- 6. Level of Orientation: Determination of the soldier's orientation status.
- 7. Mood or Affect: Notation of the soldier's emotional state.
- 8. Thinking Process: Evaluation of the soldier's thought processes.
- 9. Thought Content: Insights on the soldier's thought content.
- 10. Memory: Evaluation of the soldier's memory capabilities.
- 11. Impression: The evaluator's assessment of the soldier's mental capacity.
- 12. Recommendations: Suggestions based on the evaluation outcomes.
What happens if I fail to submit this form?
If the DA Form 3822 is not submitted, it may and delay necessary mental health evaluations for the soldier. Consequently, it may impact administrative decisions regarding the soldier's status. Timely submissions are essential for maintaining the integrity of the assessment process.
- Delayed Evaluations: Failure to submit can delay necessary mental health assessments.
- Impact on Administrative Actions: Lack of submission may affect disciplinary or administrative proceedings.
- Compliance Issues: Not submitting the form could lead to non-compliance with Army regulations.
How do I know when to use this form?
- 1. For Discharge Considerations: This form is necessary when evaluating soldiers for potential discharge.
- 2. Command Directed Evaluations: Use the form when an evaluation is mandated by a commanding officer.
- 3. Behavioral Health Assessments: Utilize for comprehensive assessments of behavioral health issues.
Frequently Asked Questions
What is DA Form 3822?
DA Form 3822 is a mental health evaluation form used by Army behavioral health providers.
How do I fill out DA Form 3822?
You will need to complete each section with accurate patient information and descriptions.
Can I edit DA Form 3822 on PrintFriendly?
Yes, you can edit the form easily with our user-friendly editing tools.
How do I sign the PDF?
You can add your digital signature directly within PrintFriendly.
What do I do after filling out the form?
You should review the form for accuracy and then submit it as instructed.
Who can use this form?
Military healthcare providers and commanders use this form for evaluations.
What happens if I don't submit the form?
Failure to submit may delay evaluations and administrative actions.
Is this form mandatory?
Yes, it is required for certain evaluations and administrative processes.
Can this PDF be shared with others?
Absolutely, you can generate a shareable link to distribute the PDF.
How do I download the edited form?
Once you've finished editing, simply click the download button to save your changes.
Related Documents - DA Form 3822
Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.
Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.
TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.
Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.
Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.
Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.
Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.
MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.
Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.
Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.
Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.
Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.
