Last updated on
Oct 2, 2026
Get the free Drug and Alcohol Program Advisor Administrative Screening Form
We are not affiliated with any brand or entity on this form
Fill out
Complete the form online in a simple drag-and-drop editor.
eSign
Add your legally binding signature or send the form for signing.
Share
Share the form via a link, letting anyone fill it out from any device.
Export
Download, print, email, or move the form to your cloud storage.
Why pdfFiller is the best tool for your documents and forms
End-to-end document management
From editing and signing to collaboration and tracking, pdfFiller has everything you need to get your documents done quickly and efficiently.
Accessible from anywhere
pdfFiller is fully cloud-based. This means you can edit, sign, and share documents from anywhere using your computer, smartphone, or tablet.
Secure and compliant
pdfFiller lets you securely manage documents following global laws like ESIGN, CCPA, and GDPR. It's also HIPAA and SOC 2 compliant.
What is DAPA Screening Form
The Drug and Alcohol Program Advisor Administrative Screening Form is a medical consent document used by the U.S. Navy to assess servicemembers' need for intervention or treatment related to drug or alcohol issues.
pdfFiller scores top ratings on review platforms
Who needs DAPA Screening Form?
Explore how professionals across industries use pdfFiller.
DAPA Screening Form is needed by:
-
Servicemembers seeking intervention for substance issues
-
Drug and Alcohol Program Advisors (DAPA) conducting assessments
-
Supervisors responsible for ensuring compliance with health standards
-
Commanding Officers overseeing servicemember welfare
-
Medical Treatment Facility (MTF) staff reviewing reports
Comprehensive Guide to DAPA Screening Form
What is the Drug and Alcohol Program Advisor Administrative Screening Form?
The Drug and Alcohol Program Advisor Administrative Screening Form (NAVPERS 5350/3) is a critical tool used by the U.S. Navy to assess a servicemember's need for intervention or treatment concerning substance abuse. This form plays a vital role in military substance abuse prevention and treatment initiatives, serving to identify individuals requiring support and resources.
This form is completed by various stakeholders including the Drug and Alcohol Program Advisor (DAPA), the servicemember undergoing evaluation, and other personnel such as supervisors or medical treatment facility (MTF) staff. Their involvement ensures a comprehensive assessment of the individual's situation, facilitating appropriate care and communication across military medical and command structures.
Purpose and Benefits of the Drug and Alcohol Program Advisor Administrative Screening Form
The primary purpose of the Drug and Alcohol Program Advisor Administrative Screening Form is to gather detailed personal, service, and disciplinary histories of servicemembers. This extensive data collection aids in accurately assessing treatment needs and aligning them with available resources.
Utilizing this form grants numerous benefits, such as:
-
Enhanced communication between DAPA, commanding officers, and medical staff
-
Streamlined processes for intervention and support
-
Improved assessment capabilities for treatment recommendations
Who Needs the Drug and Alcohol Program Advisor Administrative Screening Form?
A variety of personnel is involved in the completion and management of this form. Key roles include:
-
Servicemembers seeking assistance
-
DAPA responsible for oversight and evaluation
-
Supervisors who monitor performance and wellbeing
-
MTF staff participating in the referral process
The form is applicable in scenarios such as self-referrals by servicemembers or command-initiated referrals, ensuring that all cases of substance involvement are appropriately addressed.
How to Fill Out the Drug and Alcohol Program Advisor Administrative Screening Form Online
Filling out the Drug and Alcohol Program Advisor Administrative Screening Form online can be efficiently accomplished by following these steps:
-
Access the form using a secure online platform.
-
Carefully complete all personal and command information fields.
-
Detail any substance involvement as specified in the questions.
-
Review for accuracy and completeness, especially critical sections.
-
Submit the form as per provided instructions.
Common errors to avoid include missing signatures and omitting required fields, which can delay processing and intervention efforts.
Field-by-Field Instructions for the Drug and Alcohol Program Advisor Administrative Screening Form
This section breaks down the essential fields of the Drug and Alcohol Program Advisor Administrative Screening Form for correct completion. Key fields include:
-
Personal data: Servicemember's name, rank, birth date
-
Referral details: Dates of referrals and incident occurrences
-
Substance involvement: Indicate yes or no for alcohol and drug use
Specific questions may include whether the member was arrested for DUI/DWI, ensuring clarity in each response.
Submission Methods and Delivery for the Drug and Alcohol Program Advisor Administrative Screening Form
Submitting the completed Drug and Alcohol Program Advisor Administrative Screening Form can be done through several methods:
-
Online submission via secured platforms
-
In-person delivery at designated command offices
-
Postal mail, if required by local regulations
It is crucial to be aware of local submission guidelines to ensure proper forwarding to the appropriate medical facility.
What Happens After You Submit the Drug and Alcohol Program Advisor Administrative Screening Form?
Once the Drug and Alcohol Program Advisor Administrative Screening Form is submitted, you can anticipate several follow-up actions:
-
Confirmation of receipt from the responsible authority
-
Tracking your submission status through the DAPA or MTF
-
Potential follow-up appointments with medical staff for further evaluation
Understanding these next steps is vital for managing expectations and facilitating timely interventions.
How pdfFiller Can Help with the Drug and Alcohol Program Advisor Administrative Screening Form
pdfFiller provides essential services that simplify the completion and submission process for the Drug and Alcohol Program Advisor Administrative Screening Form. Features include:
-
Online form filling capabilities for convenience
-
eSignature options for quick approvals
-
Secure handling of sensitive data in compliance with regulations
These functionalities support a smooth, efficient experience when managing personal documents.
Sample or Example of a Completed Drug and Alcohol Program Advisor Administrative Screening Form
A helpful resource for users is a visual reference of a completed Drug and Alcohol Program Advisor Administrative Screening Form. This sample will include annotations highlighting:
-
Commonly confusing areas requiring attention
-
Correct methods of filling out each section
By analyzing this example, users can gain clarity regarding expectations and necessary information.
Secure Your DAPA Administrative Screening Process with pdfFiller
Using pdfFiller for the Drug and Alcohol Program Advisor Administrative Screening Form enhances the filling process, ensuring a secure and efficient experience. Emphasizing trust in a reliable platform, users are encouraged to manage their forms confidently, securing peace of mind throughout the process.
How to fill out the DAPA Screening Form
-
1.Access pdfFiller and log in to your account. Use the search bar or navigate the dashboard to locate the Drug and Alcohol Program Advisor Administrative Screening Form.
-
2.Click on the form title to open it in the pdfFiller interface. Familiarize yourself with the layout, including the sections for personal and service-related information.
-
3.Before filling out the form, gather all necessary information, such as the servicemember's full name, rank, birth date, command details, and any relevant incident information or referral details.
-
4.Begin completing the form by clicking on each field and entering the required information. Utilize checkboxes for yes/no answers and ensure dates are filled out accurately.
-
5.Take your time to ensure all sections are completed, including additional comments and necessary details about past disciplinary actions or treatment history.
-
6.Once all relevant fields are filled, review the form carefully for any mistakes or omissions. Make sure to double-check names, dates, and contact details for accuracy.
-
7.Finalize your form by saving it within pdfFiller. You can download a copy to your device or submit directly if instructed by relevant authorities.
Who is eligible to use the Drug and Alcohol Program Advisor Administrative Screening Form?
Eligibility for this form includes all servicemembers who may require assessment for drug or alcohol-related issues, particularly those recommended for intervention by their DAPA or supervisory staff.
What is the purpose of the Drug and Alcohol Program Advisor Administrative Screening Form?
The form is primarily used to assess the need for intervention or treatment regarding substance abuse issues among servicemembers within the U.S. Navy.
How should this form be submitted once completed?
Once the form is accurately filled out, it should be submitted to the appropriate Medical Treatment Facility (MTF) as per local regulations. Ensure to follow any specific submission protocols indicated by your command.
What supporting documents are needed when submitting this form?
Typically, no additional supporting documents are required. However, relevant incident reports, previous treatment records, or disciplinary actions may be necessary for a comprehensive assessment.
What common mistakes should be avoided when filling out this form?
Ensure all sections are filled out completely, especially numerical fields like dates and phone numbers. Double-check for legibility and accuracy to avoid processing delays.
What is the processing time after submitting the form?
Processing time may vary depending on local MTF protocols and workload. It is best to check with the MTF staff for specific estimates following submission.
Is notarization required for this form?
No, notarization is not required for the Drug and Alcohol Program Advisor Administrative Screening Form as per the current guidelines.
Related Content
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.