Last updated: 8/27/2018
Notice Of Certification For Intensive Treatment
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Description
NOTICE OF CERTIFICATION FOR INTENSIVE TREATMENT. This is a California mental health form used by authorized evaluation facilities to certify that a person requires up to 14 days of intensive psychiatric treatment following an initial involuntary detention. The form documents the evaluating agency’s findings that the individual is a danger to others, a danger to themselves, or gravely disabled due to a mental disorder or chronic alcoholism. It also records the facts supporting the certification, the treatment facility information, and confirmation that the patient was advised of their legal rights, including the right to a certification review hearing and habeas corpus review. This form is commonly used by hospitals and mental health facilities in California under the Lanterman-Petris-Short (LPS) Act. www.FormsWorkflow.com





