Get State Of Illinois Application For Voluntary Admission Ref - Dhs State Il

Completing the State Of Illinois Application for Voluntary Admission online is a straightforward process designed to assist individuals seeking voluntary admission to mental health facilities. This guide will provide you with clear, step-by-step instructions to navigate through the form effectively.

Follow the steps to complete your application online.

1. Press the ‘Get Form’ button to access the application and open it in your preferred digital editor.
2. Fill in the date of your application. Be sure to enter this information accurately, as it is important for the processing of your application.
3. Provide the name of the admittee. This should be the full name of the individual seeking admission.
4. Input the date of birth of the admittee. Ensure that this information is correct to avoid any complications.
5. Enter the last four digits of the Social Security Number (SSN) of the admittee. This is necessary for identification purposes.
6. Complete the address section by filling in the street, city, county, state, and zip code of the admittee. Each field should be filled out accurately.
7. Indicate your relationship to the admittee by selecting the appropriate option: whether you are the individual seeking admission, an interested person, or a minor.
8. If applicable, list the names and addresses of persons you wish to be notified regarding your admission and any restrictions of your rights.
9. Read and acknowledge the rights of the voluntary admittee detailed in the form. This ensures you understand your rights during the admission process.
10. Sign the form in the designated area, confirming either your consent or your acceptance of voluntary admission without signing.
11. A witness must also sign the form to verify the process. This is mandatory for validation.
12. Finally, save your changes, and opt to download or print your completed application for submission.

Complete your application online today to ensure a smooth admission process.