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STATE OF MAINE BLUE PAPER APPLICATION FOR EMERGENCY INVOLUNTARY ADMISSION TO A PSYCHIATRIC HOSPITAL (Pg. 1 of 2)1. Application. I hereby apply for emergency admission of:, to a psychiatric hospital
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How to fill out STATE OF MAINE BLUE PAPER APPLICATION FOR EMERGENCY

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How to fill out STATE OF MAINE BLUE PAPER APPLICATION FOR EMERGENCY

01
Obtain the STATE OF MAINE BLUE PAPER APPLICATION FOR EMERGENCY form from a local mental health service provider or download it from the state website.
02
Fill in the patient's full name, date of birth, and contact information in the provided sections.
03
Provide detailed information regarding the patient's mental health history and current conditions.
04
Explain the reason for requesting an emergency evaluation, including any recent changes in behavior or crisis situations.
05
Include information on the patient's previous treatment and any medications they are currently taking.
06
Complete the section regarding your relationship to the patient, indicating if you are a family member, guardian, or friend.
07
Review the form for completeness and accuracy before submitting it.
08
Submit the completed application to the appropriate mental health authorities or crisis centers.

Who needs STATE OF MAINE BLUE PAPER APPLICATION FOR EMERGENCY?

01
Individuals who are experiencing a mental health crisis and require immediate evaluation.
02
Family members or guardians seeking help for a loved one who poses a risk to themselves or others.
03
Mental health professionals initiating emergency evaluations for patients in distress.
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The STATE OF MAINE BLUE PAPER APPLICATION FOR EMERGENCY is a legal document used in Maine to initiate involuntary mental health evaluations for individuals who may pose a danger to themselves or others due to a mental health crisis.
Any individual, including family members, professionals, or law enforcement officials who believe that a person is experiencing a mental health emergency requiring evaluation can file the STATE OF MAINE BLUE PAPER APPLICATION FOR EMERGENCY.
To fill out the STATE OF MAINE BLUE PAPER APPLICATION FOR EMERGENCY, you need to provide detailed information about the individual in crisis, including their identification details, the reason for the emergency application, any relevant history, and the name and contact information of the person filing the application.
The purpose of the STATE OF MAINE BLUE PAPER APPLICATION FOR EMERGENCY is to allow authorized individuals to seek court-ordered immediate mental health evaluations for individuals who may be a danger to themselves or others, ensuring they receive the necessary care and intervention.
The application must report the individual's name, age, address, reasons for the emergency application, behavioral observations, any past mental health history, and any relevant incidents that indicate the individual poses a danger to themselves or others.
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