DA FORM 3822 Fillable – Army Pubs 3822 PDF

DAFORMFILLABLE.COM | DA FORM 3822 Fillable – Army Pubs 3822 PDF – Understanding the DA FORM 3822, officially titled Report of Mental Status Evaluation, is essential for professionals working within the U.S. Army medical and administrative fields. This form plays a critical role in assessing the mental health of service members, providing a structured way to document evaluations and outline necessary actions based on these assessments.

DA FORM 3822 – Report Of Mental Status Evaluation

Form Number DA Form 3822
Form Title Report Of Mental Status Evaluation
Form Date 06/01/2019
Form Proponent TSG

What is DA FORM 3822?

DA FORM 3822 is a document used by the U.S. Army to report the findings of a mental status evaluation. This form is prescribed by AR 40-66 and is a key tool in the management and treatment of service members’ mental health. It was last updated on June 1, 2019, replacing the previous version from March 1, 2017.

Key Details of the Form

  • Pub/Form Number: DA FORM 3822
  • Pub/Form Date: 06/01/2019
  • Title: Report of Mental Status Evaluation
  • Proponent: The Surgeon General (TSG)
  • Status: ACTIVE
  • Security Classification: UNCLASSIFIED
  • Distribution Restriction Code: A (Approved for public release; distribution is unlimited)

Purpose of the DA FORM 3822

The DA FORM 3822 is designed to provide a comprehensive and standardized report of a service member’s mental status. This form is used by military psychologists, psychiatrists, and other mental health professionals to:

  • Document detailed findings of mental evaluations.
  • Assist in diagnosing mental health conditions.
  • Recommend further treatment or evaluation.
  • Guide decisions regarding the service member’s fitness for duty.
  • Ensure consistent documentation across military health services.

Importance in Military Health Care

The use of DA FORM 3822 is crucial in maintaining the health and operational readiness of military personnel. By providing a clear and detailed report, this form helps medical professionals make informed decisions about a service member’s mental health and their ability to serve.

How to Complete DA FORM 3822

Completing the DA FORM 3822 requires attention to detail and an understanding of the service member’s mental health history and current status. Here are the key sections that need to be filled out:

Service Member Information

  • Namerank, and service number of the individual being evaluated.
  • Details of the unit and branch of service.

Evaluation Details

  • Date and location of the evaluation.
  • Names and titles of the evaluating professionals.

Findings and Recommendations

  • A detailed description of the mental status examination.
  • Results of any psychological tests conducted.
  • Diagnosis based on the evaluation, using standard diagnostic criteria.
  • Recommendations for treatment, further evaluation, or other actions.

Use and Distribution

Guidelines for Use

The DA FORM 3822 is used primarily by professionals within the Department of Defense, including:

  • Military hospitals and clinics.
  • Psychiatric and psychological services.
  • Medical boards reviewing service members’ fitness for duty.


As an UNCLASSIFIED document with a distribution restriction code of A, DA FORM 3822 can be distributed without restriction within the military and is available for public release. This ensures that the form can be used widely within the military health system and by other stakeholders who may need access to these evaluations.


The DA FORM 3822 – Report of Mental Status Evaluation is a vital tool in the assessment and management of service members’ mental health. By standardizing the documentation of mental evaluations, it supports the effective treatment and decision-making that are essential to maintaining the strength and readiness of the U.S. Army’s personnel.

Understanding and using the DA FORM 3822 correctly ensures that mental health evaluations are conducted with the rigor and attention to detail that this critical aspect of military health care demands.

DA FORM 3822 Fillable – Army Pubs 3822 PDF DOWNLOAD

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DA FORM 3822 - Report Of Mental Status Evaluation