Request For Mental Health Facility-Based Hearing {MH054}

LASC MH 054 - REQUEST FOR MENTAL HEALTH FACILITY-BASED HEARING. This form is used in the Superior Court of California, County of Los Angeles, to gather relevant information about the patient, the type of hearing requested, and contact details of the hospital representative. It includes sections for the hospital or facility name and address, case number, patient's name, preferred language, booking number (if applicable), and checkboxes for different types of hearings. The form also provides spaces to enter dates, preferred hearing times, and the name and telephone number of the hospital representative. www.FormsWorkflow.com