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Get DHHS Form DMH 5-72-01 2009-2024

M may be done by Qual. Prof.)  a substance abuser  dangerous to himself or others  none of the above SECTION II – DESCRIPTION OF FINDINGS Clear description of findings (findings for each criterion checked above in Section I must be described): over Form No. DMH 5-72-01 Revised December 2009 EXAMINATION AND RECOMMENDATION FOR INVOLUNTARY COMMITMENT Notable Physical Conditions: Current Medications (medical and psychiatric) Impression/Diagnosis: SECTION III - RECOMMENDATION FOR.

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