DA Form 4359. Authorization for Psychiatric Service Treatment

Form DA 4359 is an authorization form used in the military to document and authorize psychiatric service treatment for individuals. This form serves as a record of the authorization and outlines the details of the psychiatric service treatment.

The form consists of sections where the individual's personal information, such as name, rank, and unit, can be provided. It also includes sections to specify the type of psychiatric service treatment being authorized, the duration of the treatment, and any additional instructions or conditions.

Important fields in this form include the individual's personal information, details of the psychiatric service treatment being authorized, and any specific instructions conditions related to the treatment. It is crucial to accurately fill out all required information to ensure proper authorization and documentation of the psychiatric service treatment.

Application Example: Military personnel who require psychiatric service treatment can use this form to obtain authorization for the treatment. The form should be completed with accurate and complete information about the individual and the treatment being authorized. This form is useful for ensuring that individuals receive the necessary psychiatric care within the military system.

Related Forms: There may not be direct alternatives to Form DA 4359, as it specifically addresses authorization for psychiatric service treatment in the military. However, other forms related to medical authorizations or treatment requests may exist, depending on the specific circumstances or requirements.