Guidelines for completing applications

 

DMH 128 is the Application used for mental health and alcohol and drug 96 hour involuntary commitments in probate court

 

DMH 132 is the Application used by facility designees or peace officer for 96 hour imminent harm commitments for mental health and alcohol and drug.

 

DMH 133 is the Application used by facility designees for a voluntary client requesting release.

 

“RESPONDENT” mean the person who is the subject of involuntary detention proceedings.

 

Begin your Application by providing identifying information about the respondent.

 

Provide facts that support the belief that the respondent is mentally disordered or an abuser of alcohol or drugs or both.

 

Provide facts that support the belief that the respondent presents a likelihood of serious harm.

 

Summarize the information provided on the affidavits

 

The application must state facts and witnessed behaviors, hearsay or predictions.  Timeframes in which behaviors occurred should be specified.  Avoid the use of the words “I believe” or “I think” in an Application.  Review the Guidelines for Completing Affidavits. 

 

Attach the Affidavits (DMH 142) and the List of Witnesses (DMH 137).

 

Please only write on the front of the Application Form.

 

Applications must be notarized.

 

The Application becomes part of the court file and medical record, which are accessible to the client who requests to see it.  There is no guarantee of confidentiality.