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ATTACHMENT BSAN MATEO COUNTY5150 HOLD EXCEEDING 72 HOURS PATIENT RIGHTS ADVISEMENTIf patient does not consent to be voluntary and they are at the end of their 72hourhold, the facility staff will make

How to fill out 97-05 subject 72-hour holdsauthorization

How to fill out 97-05 subject 72-hour holdsauthorization

1. Obtain the necessary forms from the appropriate authority or organization.
2. Fill out the patient's information accurately on the form, including their name, date of birth, and other identifying information.
3. Provide the reason for placing the patient on a 72-hour hold and any relevant information about their mental health status.
4. Obtain the necessary signatures from a qualified healthcare provider or designated authority.
5. Submit the completed form to the appropriate department or agency for processing.

Who needs 97-05 subject 72-hour holdsauthorization?

1. Individuals who are experiencing a mental health crisis and pose a risk to themselves or others may need a 97-05 subject 72-hour holds authorization.
2. Qualified healthcare providers or designated authorities who are responsible for initiating the hold may also need this authorization.

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What is 97-05 subject 72-hour holdsauthorization?

97-05 subject 72-hour holdsauthorization refers to a specific legal framework that allows for the temporary detention of individuals for evaluation and treatment, generally within a 72-hour period, to assess their mental health needs and safety.

Who is required to file 97-05 subject 72-hour holdsauthorization?

Mental health professionals, such as psychiatrists or clinical psychologists, are typically required to file the 97-05 subject 72-hour holdsauthorization when they determine that an individual poses a risk to themselves or others.

How to fill out 97-05 subject 72-hour holdsauthorization?

To fill out the 97-05 subject 72-hour holdsauthorization, the filing party must provide detailed information about the individual being detained, the reasons for the hold, assessment findings, and any prior treatment history. Specific forms may vary by jurisdiction but generally require identifying and demographic details.

What is the purpose of 97-05 subject 72-hour holdsauthorization?

The purpose of the 97-05 subject 72-hour holdsauthorization is to ensure that individuals who may pose a danger to themselves or others receive the appropriate mental health evaluation and care in a timely manner while ensuring legal protections.

What information must be reported on 97-05 subject 72-hour holdsauthorization?

Information that must be reported includes the individual's identifying details (name, age, etc.), a description of the behavior that prompted the hold, evidence of risk to self or others, a summary of the mental health evaluation, and any recommendations for further treatment.