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How do I fill this out?

To fill out this form, gather all necessary information regarding the service member's clinical history. Ensure that all fields are accurately completed based on the most recent evaluations and assessments. Once the form is filled out, review for any missing information or errors before submission.

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How to fill out the Department of Defense Mental Health Evaluation Guidelines?

  1. 1

    Gather necessary personal and clinical information.

  2. 2

    Complete each section of the form carefully.

  3. 3

    Review the form for accuracy and completeness.

  4. 4

    Obtain required signatures and approvals.

  5. 5

    Submit the form through the designated channels.

Who needs the Department of Defense Mental Health Evaluation Guidelines?

  1. 1

    Military commanders who need to assess service members' mental health.

  2. 2

    Healthcare providers performing evaluations of service members.

  3. 3

    HR personnel managing deployments and fitness-for-service assessments.

  4. 4

    Psychologists and counselors providing therapy to service members.

  5. 5

    Administrative staff handling protected health information compliance.

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What are the instructions for submitting this form?

To submit this form, please ensure that all relevant sections are completed accurately. You may send the completed form via email to the designated medical command office or fax it to the appropriate number listed in the guidelines. Physical submissions can be delivered to the medical treatment facility where you are stationed, ensuring that the chain of command is informed of the submission for proper record-keeping. Always retain a copy of the submitted document for your records.

What are the important dates for this form in 2024 and 2025?

The evaluation guidelines outlined are effective immediately and subject to updates based on policy changes. Key review dates are set annually, with the next planned review on September 24, 2025. Please ensure to stay updated with any amendments to these guidelines.

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What is the purpose of this form?

The purpose of this form is to establish a standardized protocol for conducting mental health evaluations within the military framework. It aims to ensure that evaluations are performed by qualified personnel and adheres to confidentiality and compliance standards. Proper use of this form will facilitate accurate assessments and enhance the overall mental wellness of service members.

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Tell me about this form and its components and fields line-by-line.

The form consists of multiple sections designed to collect comprehensive information regarding a service member's mental health status.
fields
  • 1. Patient Information: Contains basic identification details of the service member.
  • 2. Clinical History: Documents previous mental health evaluations, diagnoses, and treatments.
  • 3. Current Assessment: Includes observations and findings from the latest evaluation.
  • 4. Recommendations: Offers suggested interventions and referrals based on the assessment.
  • 5. Commander Authorization: Section requiring signatures from relevant military officials.

What happens if I fail to submit this form?

Failure to submit this form may lead to delays in the evaluation process, risking the mental health of service members. Additionally, it can result in non-compliance with military regulations regarding healthcare documentation. Prompt submission is crucial to maintain operational readiness and support service members effectively.

  • Delays in Care: A lack of timely evaluation can affect a service member's access to necessary mental health support.
  • Regulatory Non-Compliance: Failure to adhere to submission timelines may result in violations of military health policies.
  • Inaccurate Records: Incomplete documentation can lead to erroneous conclusions about a service member's mental fitness.

How do I know when to use this form?

This form should be used when a service member requires a Command Directed Behavioral Health Evaluation due to concerns about their mental health. It is crucial during pre-deployment assessments or following significant psychological events affecting service members. Utilizing this form ensures a structured approach to mental health evaluations within the military.
fields
  • 1. Pre-Deployment Evaluations: Required to assess mental fitness before assignments.
  • 2. Post-Incident Evaluations: Used for evaluations following traumatic experiences or incidents.
  • 3. Routine Health Assessments: Facilitates regular mental health checks for service members.

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