Follow the steps to successfully complete the form:

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by filling in the inmate's information. Enter the full legal name, birthdate, address before prison, and CDCR number in the specified fields.
3. If known, provide the housing details for the inmate in the designated area.
4. Complete the family contact information section. Indicate who is completing this form and provide details, including the family member’s name, relationship to the inmate, and contact information.
5. In the mental health information section, provide details about the psychiatric and psychological treatment received by the inmate, including names, addresses, phone numbers, and dates of treatment.
6. Describe the inmate's mental health history thoroughly, including any diagnoses and medications taken. Be sure to include any side effects or negative reactions experienced.
7. Respond to questions regarding the inmate's risk of self-harm and past suicide attempts. Provide explanations as needed.
8. In the medical information section, fill in the details of the medical doctor and any medical concerns or medications relating to the inmate’s health.
9. Once all sections are adequately filled out, review the form for accuracy and completeness.
10. Save any changes made, and prepare to download, print, or share the form as needed.

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