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Conditions Of Early Release To Outpatient Treatment MC-420 - Alaska

Conditions Of Early Release To Outpatient Treatment Form. This is a Alaska form and can be used in Mental Commitment Statewide .
 Fillable pdf Last Modified 10/13/2006
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IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Necessity for the Hospitalization of: , Respondent. ) ) ) ) ) ) Case No. CONDITIONS OF EARLY RELEASE TO OUTPATIENT TREATMENT 1. It has been determined that it is not necessary for the respondent to be treated as an inpatient to prevent him/her from harming himself/herself or others. In addition, there is reason to believe that the respondent's mental condition would improve as a result of outpatient treatment. , a provider of outpatient care located at Alaska, has agreed to accept the respondent for the duration of his/her commitment. Conditions of respondent's early release are: 2. 3. Date Signature of Professional Person In Charge or that Person's Professional Designee Print Name and Title I certify that on a copy of this document was mailed or delivered to: court respondent respondent's attorney attorney general respondent's guardian (if any) the outpatient treatment center named above By: Treatment Facility Personnel MC-420 (12/87)(cs) CONDITIONS OF EARLY RELEASE TO OUTPATIENT TREATMENT AS 47.30.795 American LegalNet, Inc. www.USCourtForms.com
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