Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the details of the person subject to the evaluation. Provide their name and address in the designated fields.
3. Indicate the current location where the person may be found. This information is vital for the court's understanding.
4. In section three, mark the applicable boxes to identify the reasons for seeking the evaluation. Choose from options like 'A danger to self,' 'A danger to others,' and 'Gravely disabled.'
5. For sections four and five, provide clear evidence regarding the person's unwillingness or inability to undergo voluntary evaluation. Use specific facts and examples.
6. Detail the reasons why the person is believed to need supervision, care, and treatment in section six.
7. In section seven, summarize the facts that lead to the conclusion that the person has a mental disorder.
8. Clarify in section eight why the person is considered dangerous or disabled by elaborating on the relevant facts.
9. Describe the alternatives that have been investigated and deemed inappropriate in section nine.
10. Complete the applicant information section with your name, address, and relationship to the proposed patient.
11. State your opinion in section eleven about the likelihood of the person suffering harm or inflicting harm if not hospitalized.
12. In section twelve, indicate whether you believe the evaluation should be inpatient or outpatient, providing reasons for your choice.
13. Finally, submit the date, sign the form, print or type your name, and complete any notary requirements as indicated.

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