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Dle AGE SEX ADDRESS NAME OF COUNTY PROGRAM NAME OF BSU BSU NUMBER NAME OF FACILITY ADMISSION DATE ADMISSION NUMBER INSTRUCTIONS 1. Part I must be completed by the person who believes the patient is in need of treatment If this person is not a physician, police officer, the County Administrator or his delegate, he or she must request authorization or a warrant through the County Administrator. 2. If the authorization or a warrant through the County Administrator is required, call o.

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How to fill out the Anything Form online

Filling out the Anything Form online is an essential step in ensuring appropriate mental health care treatment. This guide will provide you with clear instructions to successfully navigate each section of the form, helping you to provide the necessary information in a confident and effective manner.

Follow the steps to complete the Anything Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in your online editor.
  2. Begin with Part I, which is to be filled out by the individual who believes the patient requires treatment. Provide the patient's name (last, first, middle) and complete the details regarding their mental health status, ensuring to indicate behaviors that demonstrate a clear and present danger to themselves or others within the last 30 days.
  3. Next, if the individual is not a physician, police officer, or the County Administrator or their delegate, they must request authorization through the County Administrator's office. Record the necessary contact information and authorization details in the form.
  4. In Part II, if applicable, complete the authorization for transportation without a warrant, documenting the date and reason for the authorization with the name of the person giving it.
  5. If a warrant is required, move to Part III. Here, check either Section A for approval or Section B for denial of the request. Include necessary signatures and dates to finalize this section.
  6. Proceed to Part IV, where you confirm the explanation of the patient’s rights. Record whether the patient understands these rights along with your signature.
  7. Fill out Part V to document actions taken to ensure the patient’s needs are met during their detention. Provide a clear description of these actions and include your signature.
  8. In Part VI, the examining physician must fill out details regarding the patient’s examination, including exact times of arrival and examination, findings, and treatment needed.
  9. Finally, review all sections for completeness and accuracy. Users can save changes, download, print, or share the completed form as required.

Start completing the Anything Form online today to ensure timely mental health treatment.

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