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This memorandum serves to notify a soldier of their referral for a mental health evaluation as dictated by military protocols and provides them with rights regarding this process.
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How to fill out Soldier's Notification of Commanding Officer Referral for Mental Health Evaluation

01
Obtain the Soldier's Notification of Commanding Officer Referral for Mental Health Evaluation form from your unit's administration or online resources.
02
Fill out the Soldier's basic identification information, including their name, rank, and unit.
03
Specify the reason for the referral in the designated section, detailing any observed behaviors or concerns.
04
Indicate the urgency of the situation, if applicable, by selecting the appropriate option.
05
Include any relevant medical or personal history that may assist mental health professionals in their evaluation.
06
Ensure that the notification is signed and dated by the commanding officer.
07
Provide instructions on where and when the Soldier is to report for their mental health evaluation.
08
Keep a copy of the completed form for your records.

Who needs Soldier's Notification of Commanding Officer Referral for Mental Health Evaluation?

01
Any Soldier showing signs of mental distress or behavioral issues that could affect their performance.
02
Units needing to address concerns about a Soldier's mental health for the well-being of the individual and the unit.
03
Commanding officers who are responsible for the health and readiness of their personnel.
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It is a formal document used by commanding officers to refer soldiers for mental health evaluations when there are concerns about their mental well-being.
Commanding officers are required to file this notification if they believe a soldier needs a mental health evaluation.
The form should be filled out with the soldier's personal information, details of the observed behavior or circumstances leading to the referral, and the reasons for the mental health evaluation.
The purpose is to ensure that soldiers who may be experiencing mental health issues receive necessary support and evaluation in a timely manner.
The report must include the soldier's name, unit, a description of the behaviors or issues observed, the circumstances necessitating the referral, and any immediate concerns for the soldier's safety.
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