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Connecticut Petition/Order Authorizing Shock Therapy for Patient with Psychiatric Disabilities

State:
Connecticut
Control #:
CT-JD-PC-805
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PDF
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Petition/Order Authorizing Shock Therapy for Patient with Psychiatric Disabilities (Rev. 7/15)

The Connecticut Petition/Order Authorizing Shock Therapy for Patient with Psychiatric Disabilities (Rev. 7/15) is a legal document issued by the Connecticut court system. It is used to provide authorization for the use of Electroconvulsive Therapy (ECT) in the treatment of certain mental health conditions for patients with psychiatric disabilities. The document outlines the criteria that must be met in order for a patient to be approved for shock therapy, including that the patient must be at least 18 years of age and have been diagnosed with a psychiatric disability or disorder that has not responded to other treatment options. Additionally, the petition requires the patient to provide written consent for the procedure as well as the signature of a treating psychiatrist or psychologist. There are two types of Connecticut Petition/Order Authorizing Shock Therapy for Patient with Psychiatric Disabilities (Rev. 7/15): a petition for an order authorizing shock therapy and an order authorizing shock therapy. The petition must be filed with the court by the patient, their guardian, or their legal representative, while the order is issued by the court upon a successful petition.

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More info

As a legal document, in most states and clinical settings, the PAD must be witnessed and notarized in order for the document to be executed. Private treatment of patients in Department of Mental Health and Addiction Services facilities.Payment for treatment. Sec. 17a-468. (b) Complete the review within ten (10) days of receipt of the appeal request. DMAP 3978 Pharmacy Prior Authorization Request. (b) Complete the review within ten (10) days of receipt of the appeal request. DMAP 3978 Pharmacy Prior Authorization Request. Medical treatment; physician authorization; pecuniary liability. , Aart Hendriks, Disabled Persons and Their Right to Equal Treatment: Allowing. Absences without Authorization. 3-23. 7.

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Connecticut Petition/Order Authorizing Shock Therapy for Patient with Psychiatric Disabilities