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Get AZ ADHS/DBHS MH-100 1993-2024

Equests that the above agency conduct a pre-petition screening of the person named herein. 2. The undersigned applicant alleges that there is now in the County a person whose name and address are: (Name) (Address) and that s/he believes that the person has a mental disorder and as a result of said mental disorder, is: a danger to self; a danger to others; gravely disabled; persistently or acutely disabled and is: unwilling to undergo voluntary evaluation, as evidenced by the following fa.

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