Physicians Declaration Petition For Writ Of Habeas Corpus {MH004}

LASC MH 004 - CONSERVATORSHIP RE-EVALUATION PHYSICIANS DECLARATION. This form is used in the Los Angeles County Superior Court to provide medical evaluations when the court is reviewing whether a conservatorship should continue. The form is completed by one or more physicians who evaluate the conservatee’s mental health or substance use condition and its impact on their ability to care for themselves. Physicians must describe the individual’s diagnosis, symptoms, and whether the person can provide for basic needs such as food, clothing, shelter, personal safety, and medical care. The declaration also addresses whether the individual is willing to accept voluntary treatment and whether they have the capacity to accept or refuse prescribed medication. For Optional Use. www.FormsWorkflow.com