Get Mh 786.qxp - Pa.gov

Filling out the MH 786.qxp - PA.gov form is a critical step in the petitioning process for involuntary treatment under the Mental Health Procedures Act. This guide will provide you with clear and concise instructions to ensure the form is completed accurately and effectively.

Follow the steps to successfully fill out the MH 786.qxp form.

1. Press the ‘Get Form’ button to access the form and open it in the designated editor.
2. Begin by entering the patient's legal name in the designated fields: last name, first name, and middle name. Next, provide the patient's age and sex.
3. Identify and enter the name of the county program responsible for the treatment, followed by the name and number of the base service unit handling the patient's care.
4. Input the name of the facility where the patient is admitted, along with the admission date and admission number. Ensure that this information is accurate to avoid any delays.
5. Complete Part I of the form, which should be filled out by the facility director or authorized representative. Clearly indicate how the patient has demonstrated severe mental disability.
6. Move on to Part II, where appropriate individuals must affirm that the patient has been informed of their rights and whether they understand these rights.
7. For Part III, have the examining or treating physician note their findings from the examination, including whether the patient continues to be severely mentally disabled, and what treatment is needed.
8. In Part IV, provide details related to the court's findings and the specific order for involuntary treatment based on the results of the hearing.
9. If necessary, attach any additional sheets and a copy of the treatment plan before submitting the form. Confirm all details are correct.
10. Once all sections are completed, you may save changes, download, print, or share the form as needed.

Complete the MH 786.qxp form online to ensure a smooth process for involuntary treatment.