Get Maryland Emergency Petition Form 2017

The Maryland Emergency Petition Form 2017 is designed to facilitate the request for an emergency evaluation of a person. This guide provides step-by-step instructions to help users effectively fill out the form online, ensuring that all necessary information is accurately submitted.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the Petitioner and the name of the person to be evaluated (the Evaluee). Ensure that all spelling is correct to avoid any delays in processing.
3. Provide the address and contact information for the Petitioner, including cell, home, and work phone numbers. If the Petitioner is a licensed professional, include their specialty and license number.
4. Fill out the information about the Evaluee, including address, date of birth, sex, race, height, weight, hair color, eye color, and complexion.
5. If applicable, include the name and relationship of any person (such as a spouse or relative) interested in the Evaluee, along with their contact information.
6. Indicate if there have been previous petitions for emergency evaluation and provide the date and outcome of those petitions.
7. List any past hospitalizations of the Evaluee, including dates, facilities, and diagnoses during those stays.
8. Enter details of any current psychiatric treatment the Evaluee is receiving, including names, addresses, and contact information of the treatment providers.
9. Document any medications prescribed for the Evaluee's mental disorder and specify whether they are following the prescription.
10. Describe the behaviors exhibited by the Evaluee that suggest the presence of a mental disorder. Attach additional sheets if necessary.
11. Explain why the Evaluee poses a danger to themselves or others. Again, additional documentation can be attached.
12. Finally, affirm the truth of the information under penalties of perjury, and provide the date and the signature of the Petitioner.
13. Once all fields are completed, you can save your changes, download the form, print it, or share it as necessary.

Complete your Maryland Emergency Petition Form 2017 online today to ensure timely evaluation.