Medical Doctor's Report
GOLDTHWAITE, JOHN
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1. REQUEST A MENTAL STATUS EVALUATION FOR THE ABOVE NAMED SERVICE MEMBER WHO IS BEING CONSIDERED FOR DISCHARGE BECAUSE OF: [X] OTHER (see remarks) |
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2. BEHAVIOR: [_] HYPERACTIVE [X] NORMAL [_] PASSIVE [_] AGGRESSIVE [_] HOSTILE [_] SUSPICIOUS [_] BIZARRE
3. LEVEL OF ALERTNESS:
4. LEVEL OF ORIENTATION:
5. MOOD OR AFFECT:
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6.THINKING PROCESS: [X] CLEAR [_] CONFUSED [_] BIZARRE [_] LOOSELY CONNECTED
7. THOUGHT CONTENT:
8. MEMORY:
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9. IN MY OPINION, THIS SERVICE MEMBER:
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REMARKS:
1. This is to certify that the above named individual was evaluated on 11 and 25 July 1996. The purpose of the evaluation was explained to him. 2. Service member was seen and evaluated as required for Conscientious Objector Status 3. (unreadable on copy) AXIS I Occupational Problems AXIS II Diagnosis Deferred AXIS III None 4. Findings: a. This individual was and is substantially capable of appreciating the nature of his conduct and of conforming his conduct to the requirements of the law. He is able to understand and participate in administrative proceedings. b. Clinical evaluation at this time, indicates that this individual does not suffer from a psychiatric disease, or personality disorder that would cause significant defects in judgement or reliability. 5. Recommendations: SPC GOLDTHWAITE be cleared for action as deemed appropriate by command to include consideration for administrative separation. |
DATE: 25 JULY 96
(signed)
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© 1996 golwis@yahoo.com