The medical release form at the bottom of the SF86 states that you only need to fill it out/sign it if you answer yes to any of the mental health questions. If you go to therapy, but not for stuff covered by the SF86, and you answered no to all the questions, then you don’t need to sign the medical release form as instructed to in the form. The questions on the OLD SF86 were different than the current questions. The guy in the example article possibly outed himself which led to the result. As per usual the people claiming to be investigators on this site adopt adversarial hostile attitudes to show superiority. And none of them actually have security clearances.
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