Get : 405 Ilcs 5/3-400 And 5/3-502

Filling out the 405 ILCS 5/3-400 and 5/3-502 forms online can facilitate the process of voluntary admission to mental health facilities in Illinois. This guide provides clear steps to help users navigate through the necessary fields and sections with ease.

Follow the steps to complete your application online.

1. Click 'Get Form' button to access the form and open it in your preferred editor.
2. In the section labeled 'Facility:', enter the name of the facility where you are seeking admission. This helps to identify where you will be admitted.
3. Fill in the 'Date of application:' with the date you are completing the form. This date is important for processing your application.
4. Provide the 'Name of Admittee:' which is the full name of the person seeking admission.
5. Complete the 'Address:' section, including street, city, county, state, and zip code, to ensure proper identification and communication.
6. Enter the 'Date of Birth:' of the admittee to confirm eligibility requirements.
7. Include the 'Last 4 digits of SSN:' for identification purposes.
8. Indicate your relationship to the admittee by selecting one of the options provided, ensuring that you meet the requirements to submit the application.
9. If relevant, specify any designated individuals to be notified of the admittee's admission or if you wish no one to be notified.
10. Review the section regarding 'RIGHTS OF VOLUNTARY ADMITTEE' ensuring you understand these rights, which will be provided to you in detail upon admission.
11. Sign the form as either the admittee or the interested person, confirming the information provided is accurate and complete.
12. A witness must also sign the form, indicating their printed name, age, and relationship to the admittee.
13. Complete the certification by the clinician regarding the suitability for admission, and fill out their name and title.
14. Once all sections are filled out and verified, save the changes, and follow the options to download, print, or share the form for submission.

Take the next step in your journey by completing your application for voluntary admission online.