Commanders
Welcome to the Mental Health Command Referral Internet Resource

Command Referral Packet Quick Download

Here you will find all the forms, letters, instructions and resources to facilitate a Commander’s Request for Mental Health Evaluation. Please familiarize yourself with the materials here. You will find: 

• MEDCOM Regulation 40-38,"Command Directed Mental Health Evaluations" 
• Instructions for completing referral paperwork 
• Instructions for TAMC Form 108: Tripler Army Medical Center Commander’s Request for Mental Health Evaluation 
• Soldier's Notification of Commanding Officer Referral for Mental Health Evaluation. 
• Responsibilities of the Unit Escort 
• Administrative Separations Requiring Mental Status Evaluations 
• Mental Status Report Form DA 3822R

All 25th Infantry Division (L) Unit Commanders need to utilize Division Mental Health at 433-8600 as their primary point of contact. 

The TAMC Form 108 is also used in referring soldiers for evaluations required by regulation: Chapters 13, 14 (sec III), or 15. A mental status evaluation is also required when a soldier being processed for discharge under Chapter 10 requests a medical examination. 

Print the forms as you need them, and follow the instructions in making a Commander’s Request for Mental Health Evaluation. 

When making a command directed evaluation request, call Division Mental Health at 808-433-8600, Community Mental Health at 808-433-8580, Department of Psychiatry at 808-433-2737 or Department of Psychology at 808-433-1498. You must call the clinic to schedule the appointment ahead of time. 

Instructions for Command Directed Mental Health Evaluations

References:

1. DOD Directive 6490.1, Mental Health Evaluations of Members of the Armed Forces, 1 Oct 1997
2. DOD Instruction 6490.4, Requirements for Mental Health Evaluations of Members of the Armed Forces, 28 August 1998 * 
3. MEDCOM Regulation 40-38, Command-Directed Mental Health Evaluations, Revised 1 September 2001
4. Frequently Asked Questions About Command Referrals
5. Additional Information on the Requirements for Requesting Mental Health Evaluations. 
6. 10 point checklist for making a referral. 

1. A commander shall refer a soldier for an emergency mental health evaluation as soon as is practical whenever a soldier indicates an intent to cause serious injury to himself or others, and the commander believes that the soldier may be suffering from a mental disorder. 

2. Prior to transporting a soldier for an emergency evaluation, or shortly thereafter if the time and nature of the emergency does not permit, the commanding officer shall consult directly with a mental health professional. The purpose of this consult is to communicate the observations and circumstances which led the commander to believe that the soldier’s behavior constituted an emergency. The commander will then forward the TAMC Form 108 * to the mental health professional, documenting the information discussed.

1. Contact Warrior Behavioral Health 808-433-8600, Department of Psychiatry at 808-433-2737 or Department of Psychology at 808-433-1498 and speak directly with a mental health professional to request a command-directed mental health evaluation. Signs of mental illness can include changes in behavior, mood, or thinking that interfere with normal functioning. The mental health professional will clarify the request, urgency of the referral, and schedule an appointment. 

2. Complete and sign a TAMC Form 108* 

3. Counsel the soldier and insure that the soldier is provided written notice of the referral: Soldiers Notification of Commanding Officer Referral for Mental Health Evaluation (Non-Emergency). The notice will include the following: 

(2) Names of mental health professionals the commander has consulted before making the referral. If consultation is not possible, commanders must include the reasons in the notice.