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FOR BUSINESS OFFICE USE TRANSPORTATION AUTHORIZATION CERTIFICATE STATE OF CONNECTICUT DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES MHCC-15 Rev. 8/07 I.

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Related content

Forms - CT.gov
Connecticut State Department of Mental Health and Addiction Services. CT.gov Home ·...
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Trauma-Informed Care and Practice - Mental Health...
Mental Health Coordinating Council (MHCC) 2013, Trauma-Informed Care and ... June 2011...
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The psychologist can issue a written emergency certificate authorizing and directing that the person be taken to a general hospital for purposes of a medical examination. He must be examined within 24 hours and released within 72 hours, unless detained and committed under the certificate (CGS Sec. 17a-503(c)).

A gravely disabled person is someone who could be seriously hurt by the inability to address basic human needs such as food, clothing, shelter, safety and medical treatment.

A 72-hour hold (also known as a 5150 or 5585) is a specific code that refers to involuntary mental health hospitalization. During this hold, a specialized team evaluates patients for safety and reviews the appropriate steps for securing stabilization.

If at the expiration of the fifteen days a written application for commitment of such person has not been filed, such person shall be discharged from the hospital.

If the person is determined to legally need treatment, the physician can execute a Physician's Emergency Certificate (PEC). This detains the person against their will for up to 72 hours.

The Mental Health Waiver (previously called W.I.S.E.) program, authorized in §1915(c) of the Social Security Act, permits the State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutional care.

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© Copyright 1997-2025
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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