Get Examination And Recommendation For Ivc - Nc Department Of ... - Ncdhhs

This guide provides comprehensive instructions for filling out the Examination And Recommendation For Involuntary Commitment form from the North Carolina Department of Health and Human Services. It aims to assist users in navigating each section of the form clearly and effectively, ensuring a smooth submission process.

Follow the steps to fill out the form accurately and efficiently.

1. Press the ‘Get Form’ button to obtain the Examination And Recommendation For IVC form and open it in your chosen online editor.
2. Begin filling out the section labeled 'Client Record #', entering the relevant number assigned to the case.
3. Complete the 'Name of Respondent', 'Age', 'Birthdate', 'Address', 'Sex', and 'Race' fields with the appropriate details regarding the respondent.
4. Fill in the information for 'Legally Responsible Person', including their name and contact details.
5. Enter the details of the 'Next of Kin', including their name, address, relationship to the respondent, and phone number.
6. Provide the name and address of the 'Petitioner', as well as their relationship to the respondent and phone number.
7. Document the date and time of the examination and the location where it took place.
8. In 'Section I - Criteria for Commitment', check appropriate boxes based on the respondent's situation regarding mental illness, dangerousness, and the need for commitment.
9. In 'Section II - Description of Findings', provide a clear description of all findings related to the criteria checked in the previous section.
10. List 'Current Medications' as well as 'Notable Physical Conditions' related to the respondent.
11. Add the 'Impression/Diagnosis' based on your evaluation of the respondent.
12. In 'Section III - Recommendation for Disposition', select the appropriate recommendation based on the examination findings, providing the necessary details.
13. Sign and print your name along with your title and address to certify the document.
14. Upon completion, review all entries for accuracy. Save your changes, then download or print the form as needed, or share it with relevant parties.

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