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OBH-1 PEC Rev. 05/2017 Complete Prior to Admission STATE OF LOUISIANA LOUISIANA DEPARTMENT OF HEALTH OFFICE OF BEHAVIORAL HEALTH PHYSICIAN S EMERGENCY CERTIFICATE For observation diagnosis and treatment at a treatment facility for a period not to exceed 15 days or 28 days for substance abuse Title 28 52. 4. See Louisiana Revised Statutes Title 28 Sections 53 and 63. These directives must be fulfilled in order for this certificate to be valid. NAME OF EXAMINING PHYSICIAN EXAMINATION DATE...
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