Commander's Request for Mental Health Evaluation
This document outlines the procedures and requirements for Command Directed Mental Health Evaluations as prescribed by DOD directives. It provides essential information and instructions for commanders and service members. This form is vital for ensuring the well-being of service members who may require mental health assessments.
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How do I fill this out?
To fill out this form, start by gathering all necessary personal information of the service member. Next, determine the type of evaluation required and follow the specified instructions for that type. Lastly, ensure that the form is reviewed and signed by both the commander and the service member before submission.
How to fill out the Commander's Request for Mental Health Evaluation?
1
Gather the necessary information of the service member.
2
Determine if the evaluation is routine or emergency.
3
Complete the form sections as required.
4
Review the form with the service member.
5
Sign and submit the form as instructed.
Who needs the Commander's Request for Mental Health Evaluation?
1
Commanding officers, who are responsible for referring service members for evaluations.
2
Service members experiencing mental health concerns needing assessment.
3
Behavioral health providers requiring detailed referral information.
4
Administrative personnel in charge of processing evaluations.
5
Legal representatives who may assist service members in understanding their rights.
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1
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2
Click on the edit icon to modify the document.
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Fill in the required details in the specified fields.
4
Review your edits to ensure accuracy.
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What are the instructions for submitting this form?
To submit the Commander's Request for Mental Health Evaluation form, please send the completed document to your unit's behavioral health office at [insert email] or fax it to [insert fax number]. If you prefer online submission, please fill out the respective portal at [insert link]. Ensure that the form is personally delivered to the unit office if urgent action is required.
What are the important dates for this form in 2024 and 2025?
Important submission dates for this form may vary, so please check specific deadlines as prescribed by your command structure. For 2024, adhere to regulations and periods set for evaluations. Future amendments or updates should always be consulted in advance.
What is the purpose of this form?
The primary purpose of the Commander's Request for Mental Health Evaluation form is to establish a clear and structured method for commanders to refer service members for mental health evaluations. This ensures that service members receive necessary mental health assessments in a timely manner while adhering to DOD regulations. Furthermore, the form serves to protect the rights of service members throughout the evaluation process.
Tell me about this form and its components and fields line-by-line.
- 1. Service Member's Name: The complete name of the service member undergoing evaluation.
- 2. Rank: Rank of the service member.
- 3. Age: Age of the service member.
- 4. DOB: Date of birth of the service member.
- 5. Time in Service: Total duration the service member has served.
- 6. Unit: The unit in which the service member is currently assigned.
- 7. Commander Comments: Comments from the commander regarding the referral.
- 8. Reason for Referral: The reason detailing why the evaluation is required.
- 9. Signature: Signature of the commander validating the request.
What happens if I fail to submit this form?
Failing to submit this form may result in delayed mental health evaluations for service members, potentially impacting their readiness and well-being.
- Delayed Evaluation: Without submission, service members might not receive timely mental health assessments.
- Non-Compliance: Failure to submit may lead to regulatory non-compliance for commanders.
- Impact on Duty Performance: Unattended mental health issues can adversely affect a service member's job performance.
How do I know when to use this form?
- 1. Routine Evaluation: For service members with no imminent risk but requiring assessment.
- 2. Emergency Evaluation: When there's a risk of harm to self or others.
- 3. Behavioral Health Documentation: To formally document referrals for managing service members' health.
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