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APPLICATION FOR 3DAY COMMITMENT FOR MENTAL ILLNESS G.L. c. 123, 12(e) Docket No. Trial Court of Massachusetts District Court Department Division DOB OR AGE NAME OF RESPONDENT GENDER IN THE MATTER

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What is application for 3-day commitment?

An application for 3-day commitment is a legal document filed to request a 3-day involuntary mental health treatment for an individual.

Who is required to file application for 3-day commitment?

The application for 3-day commitment is typically filed by a qualified health professional or designated mental health practitioner.

How to fill out application for 3-day commitment?

The application for 3-day commitment must be filled out with relevant patient information, details of the mental health condition, and reason for requesting the 3-day commitment.

What is the purpose of application for 3-day commitment?

The purpose of the application for 3-day commitment is to ensure that individuals with severe mental health issues receive timely and appropriate treatment to protect themselves or others.

What information must be reported on application for 3-day commitment?

The application for 3-day commitment must include details such as the patient's name, age, mental health diagnosis, reason for the commitment, and signatures of the medical professionals involved in the case.

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