Offices of Physicians, Mental Health Specialists Forms for Cook

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FAQ

An application for the involuntary admission of an adult may be made to a registered medical practitioner by a spouse, civil partner or relative, an authorised officer, a Garda or any other person.

The state of Illinois is one of only 17 states that provide access to treatment on the basis of need with a consideration of potential risk or danger. Individuals with mental illness can be admitted to a mental health facility against their wishes. This is called involuntary admission.

A Form 3 (Certificate of Involuntary Admission) under the Ontario Mental Health Act is a form filled out when a patient meets criteria for an involuntary admission under either Box A, or Box B criteria. A Form 3 lasts 2 weeks.

Include prior diagnosis, treatment and hospitalizations. Describe any threats, behavior or pattern of behavior which support your complaint. Include personal observations that lead to your belief the Respondent is subject to involuntary admission) If additional space needed please attach a separate page or pages.

The petitioner may be anyone 18 years of age or older. You do not need to be a relative to file a petition on the respondent's behalf. You must disclose any other legal cases that involve both you and the respondent. The petition should have a detailed statement.