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EXAMINATION AND RECOMMENDATION TO DETERMINE NECESSITY FOR INVOLUNTARY COMMITMENT Client Record # NAME OF RESPONDENT: AGE BIRTHDATE ADDRESS (Street, Apt., Route, Box Number, City, State, Zip - Use facility address after 1 year in facility) Film # SEX RACE M.S. County Phone LEGALLY RESPONSIBLE PERSON NEXT OF KIN (Name and address) Relationship Phone PETITIONER (Name and address) Relationship Phone The above-named respondent was examined on , 2.

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If they are unwilling to go to the hospital, call 911. Calling 911 can feel hard. You can explain to the 911 operator that you think your family member is experiencing mental health symptoms, in case a mental health crisis response team is available.

All physicians, including psychiatrists and emergency department physicians, attending staff members, and other professional persons must be specifically designated by the County before they can detain and transfer or cause another to be detained and transferred pursuant to §5150.

Who Can Order The Actual “Placement” Of A 72-hour Hold? The following persons may place a 72-hour hold: A Certified peace officer. A Physician or Licensed Psychologist with a license in the state of Colorado.

Magistrate may issue an order to a law enforcement officer to take you into custody for examination by a qualified professional. If the qualified professional finds that you are mentally ill and dangerous to yourself or others, you will be taken to a hospital.

4. Involuntary Commitment. • IVC Laws provide for custody, transportation and evaluations for. individuals identified as potentially having a mental illness or. substance use disorder that may be a danger to themselves or others.

Section 5(2) gives doctors the ability to detain someone in hospital for up to 72 hours, during which time you should receive an assessment that decides if further detention under the Mental Health Act is necessary.

In this case, the director must apply to a judge within 72 hours for authorization to keep the patient. If you are hospitalized as either a voluntary or informal status patient, you must be informed periodically of your status and rights, including your right to assistance from Mental Hygiene Legal Service.

Involuntary Commitment (IVC) for Mental Health Issues Process Overview. If you believe someone you know is an immediate danger to self or others, call 911 for a well-being check. As a family member or close friend, if you believe your loved one is in danger, you can get involved by seeking involuntary commitment.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232