CUI // PRVCY — Demonstration environment · notional data only
CUI (when filled in) // PRVCY / HLTH
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Mental Health Assessment

DD FORM 2978 · FEB 2025 Forms menu
Deployer: SMITH, Dana R.Source
DEERS · verified at sign-in · 02 Jul 2026
DoD ID: 1234500000 Purpose: Post-deployment MHA Window: 181–545 days
Pre-filled from your record — last PHA (21 Jul 2025) · deployment roster · MHS GENESIS · immunization registry (ITS). Hover ⓘ on a pre-filled value for its source. Anything you change is kept and flagged for clinical review — your answer never silently overwrites the record.
CUI (when filled in) // PRVCY / HLTH
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