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MD DHMH 2A 2014 free printable template

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State of Maryland Department of Health and Mental Hygiene Behavioral Health Administration Catonsville, MD 21228 REPORT AS TO CERTIFICATION OF COMMITMENT This section is to be completed by the physician
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Maryland law allows involuntary admission to a hospital when a person: has a mental disorder and needs inpatient care or treatment and presents a danger to the life or safety of the person or others and is unable or unwilling to be admitted voluntarily and there is no available less restrictive form of intervention
In order for you to be involuntarily admitted, ALL OF THE FOLLOWING MUST BE TRUE: . You have a mental illness You need inpatient care or treatment; • You present a danger to yourself or to others; • You are unable or unwilling to be admitted voluntarily; .
To file a petition for emergency evaluation, go to the nearest district court during court hours and ask for the 'petition for emergency evaluation' form. Click here to download the form. For a complete description of the law governing involuntary commitment in Maryland, please see the Maryland Statute.
To be committed involuntarily to an institution, a patient must be evaluated by a physician and a psychologist, or by two physicians, both of whom must agree that the person poses a danger to himself or others, shows symptoms of a mental disorder, is unwilling or unable to come into the hospital voluntarily and that a
In order for you to be involuntarily admitted, ALL OF THE FOLLOWING MUST BE TRUE: . You have a mental illness You need inpatient care or treatment; • You present a danger to yourself or to others; • You are unable or unwilling to be admitted voluntarily; .
Maryland is one of only three states that do not authorize involuntary treatment in the community, often called “assisted outpatient treatment (AOT)” or “outpatient commitment.”

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DHMH 2A - report is a document required by the Maryland Department of Health and Mental Hygiene to report certain health-related information.
Healthcare facilities and providers in Maryland are required to file DHMH 2A - report.
DHMH 2A - report can be filled out online through the Maryland Department of Health and Mental Hygiene's reporting portal.
The purpose of DHMH 2A - report is to collect and track health data in Maryland for public health purposes.
DHMH 2A - report requires information such as patient demographics, diagnoses, treatments, and outcomes.
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