Forms

The following are commonly used forms and templates by ARNG Behavioral Health Professionals.

DD Form 3024 — Aug 2021Annual Periodic Health Assessment Form

AD 2013-01 — Jan 2013Army Directive 2013-01

ARNG Assessment Template

ARNG BH Metrics Tracker

DD Form 2870 — Nov 2023Authorization for Disclosure of Medical or Dental Information

BH Roster Template

MOD 14 TAB CCENTCOM Medical Waiver Request

Standard Form 600 — Aug 2018Chronological Record of Medical Care

DoDI 6490.08 — Sep 2023Command Notification Requirements to Dispel Stigmas in Providing Mental Health Care to Service Members

Promotes reducing stigma in obtaining mental . . . MORE

Promotes reducing stigma in obtaining mental health care services by balancing patient confidentiality with a commander’s need to know certain information for military operational and risk management decisions, ensuring, except in a case in which there is an exigent circumstance, the confidentiality of mental health care services provided to members who voluntarily seek such services.

DA Form 8001 — Mar 2019Consent to Assessment and/or Treatment

DoDI 1300.27 — Jan 2016Guidance on the Use of Service Dogs by Service Members

DoDI 1300.28 — Apr 2021In-Service Transition For Transgender Service Members

DD Form 2796 — Oct 2015Post-Deployment Health Assessment

DD Form 2900 — Oct 2015Post-Deployment Health Reassessment

DD Form 2795 — Oct 2015Pre-Deployment Health Assessment

DD Form 2005 — Jun 2016Privacy Act Statement — Health Care Records

DA Form 3822 — Jun 2021Report of Mental Health Status Evaluation

VA Form 10-5345 — Oct 2023Request for Authorization to Release Health Information

USAFRICOM Medical Waiver Request

USSOUTHCOM Medical Waiver Request