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Mh-4 revised 1/2003 . page . 1. of . 4. state of hawaii department of health . emergency examination/hospitalization: certificate of physician/psychologist.

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Follow the steps to complete the Mh4 Hawaii form online.

  1. Press the ‘Get Form’ button to acquire the form and open it in your editing platform.
  2. Begin by filling in the name and identifying details of the person being examined, including their age, street address, city, state, sex, and telephone number. This information is crucial for accurate identification.
  3. Provide the date and time of the examination in the designated fields. Ensure accuracy as this information is essential for record keeping.
  4. Next, check all applicable items that indicate the reasons for your examination. Specify whether the person is mentally ill or suffering from substance abuse, and provide specific examples in the space provided.
  5. Indicate if the person is deemed imminently and substantially dangerous to themselves or others. You may also check if they are obviously ill, and describe their behavior in the field provided.
  6. Confirm the need for care and/or treatment, and provide any additional circumstances or reasons for this belief in the attached section.
  7. Outline the transportation arrangements made for the person, including the designated facility for emergency examination and/or hospitalization, such as Queen's Medical Center.
  8. Certify the document by signing in the designated area alongside your business address, along with the date and time. Remember to include both your business and home telephone numbers.
  9. After completing all sections, review the form for accuracy. Save your changes, and download, print, or share the document as needed.

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MH-4 Filled out by physician after a patient is brought to the hospital (commonly brought to the hospital on an MH-1 or MH-2); usually to the ER.

In any event, the patient must be released within [forty-eight] seventy-two hours of the patient's admission, unless the patient voluntarily agrees to further hospitalization, or a proceeding for court-ordered evaluation or hospitalization, or both, is initiated as provided in section 334-60.3.

You may call Hawaii CARES at (808) 832-3100 on Oahu or toll-free at 1-800-753-6879 and talk to a live local representative 24/7 if you are experiencing a crisis. Hawaii CARES is open 24 hours a day, seven days a week.

MH-1: Application for Emergency Examination and Hospitalization - Honolulu Police Department.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232