Follow the steps to successfully complete the Tennessee Certificate Of Need form.

1. Click ‘Get Form’ button to obtain the document and open it in your chosen editor.
2. Begin by entering your name and county in the designated fields at the top of the form. This identifies you as the examining professional.
3. Provide the name of the person who has been examined in the specified section. Ensure that spelling and details are accurate.
4. Record the date of the examination. This date must be within three days of the execution of this certificate.
5. Indicate your professional designation by checking the appropriate box for either physician or psychologist. If this certificate relates to a child under sixteen years of age, also confirm your professional experience with children.
6. In the next sections, provide detailed reasoning in your professional opinion for the involuntary care and treatment. Address the three criteria: mental illness or serious emotional disturbance, the likelihood of serious harm, and the necessity for treatment, ensuring to elaborate on the facts and reasoning for each.
7. Discuss less drastic alternatives to placement in a hospital or treatment resource. Explain why these alternatives are unsuitable based on your assessment of the individual’s needs.
8. Complete the signature section by signing as the examining professional and providing the date. Ensure your contact number is included, as this information may be required for follow-up.
9. Finally, if a notary is required, arrange for the signing in their presence, and have their stamp and signature completed. Make sure to document the expiration date of the notary's commission.
10. Once all fields are complete, ensure everything is accurate, then save changes. You can choose to download, print, or share the form as needed.

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