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AOC712Rev. 817 Page 1 of 2Doc. Code: CHCommonwealth of Kentucky Court of Justice www.courtsky.gov KRS 202A.028; 202A.056Case No. ___Certification of Qualified Mental Health Professional For 72 Hour
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To fill out 202a028 hospitalization by court, follow these steps:
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Begin by providing your personal information, including your name, address, and contact details.
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Specify the court that is ordering the hospitalization. Include the court's name, address, and contact information.
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Describe the reason for the hospitalization request and provide supporting documents or evidence if required.
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Indicate the name and address of the hospital where the individual will be admitted.
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Include information about any other parties involved in the case, such as legal representatives or guardians.
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Sign and date the form.
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Submit the completed form to the appropriate court or legal authority for further processing.

Who needs 202a028 hospitalization by court?

01
202a028 hospitalization by court is typically needed for individuals who require involuntary hospitalization due to mental health issues or deemed a danger to themselves or others.
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It is often used when other methods of voluntary hospitalization are not possible or deemed ineffective.
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The decision for court-ordered hospitalization is made by a judge or legal authority based on the assessment of the individual's condition and potential risk.
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202a028 hospitalization by court refers to the legal process where a person is involuntarily admitted to a hospital for psychiatric treatment.
The hospital or mental health facility where the person is admitted is required to file 202a028 hospitalization by court.
To fill out 202a028 hospitalization by court, the hospital must provide relevant information about the patient's mental health condition and the reasons for the involuntary admission.
The purpose of 202a028 hospitalization by court is to ensure that individuals with severe mental illness receive proper treatment and care, even if they are unable to consent to it.
Information such as the patient's name, age, diagnosis, treatment plan, and the court order for hospitalization must be reported on 202a028 hospitalization by court.
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