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Mental Health Provider Forms

Form Number Title
MH 537 Aftercare Plan Summary and Discharge Form
MH 781 Consent for Voluntary Inpatient Treatment
MH 781 BCD Explanation of Voluntary Admission Rights
MH 781E Notification of Admission of Child (English and Spanish)
MH 782 Bill of Rights (English and Spanish)
MH 783 Application for Involuntary Emergency Examination & Treatment
MH 783A Explanation of Rights Under Involunary Emergency Treatment (English and Spanish)
MH 783B Explanation of Warrant (English and Spanish)
MH 783-S Application for Involuntary Emergency Examination & Treatment - Spanish
MH 784 Application for Extended Involuntary Treatment
MH 784A Notice of Intent to File a Petition for Extended Involuntary Treatment and Explanation of Rights (English and Spanish)
MH 784-S Application for Extended Involuntary Treatment - Spanish
MH 785 Mental Health Procedures Act of 1976 - Petition for Involuntary Treatment
MH 785-S Mental Health Procedures Act of 1976 - Petition for Involuntary Treatment - Spanish
MH 785A Notice With Intent to File a Petition for Extended Involuntary Treatment and Explanation of Rights (English and Spanish)
MH 785B Notice of a Hearing on Petition for Involuntary Treatment and Explanation of Rights
MH 786 Petition for Involuntary Treatment Via the Criminal Justice System
MH 786 A Notice of Intent to File a Petition for (Extended) Involuntary Treatment and Explanation of Rights (English and Spanish)
MH 787 Petition for Commitment for Involuntary Treatment After Finding of Incompetency
MH 787-S Petition for Commitment for Involuntary Treatment After Finding of Incompetency - Spanish
MH 788 Petition to Transfer for Persons in Involuntary Treatment
MH 788.1 Notice of a Hearing on a Petition to Transfer for Involuntary Treatment and Explanation of Rights
MH 788.2 Transfer of Involuntarily Committed Persons from Inpatient to Outpatient Status
MH/MR 11 Authorization for Service
MH/MR 13 Service Rendered Report

Form Number	Title
MH 537	Aftercare Plan Summary and Discharge Form
MH 781	Consent for Voluntary Inpatient Treatment
MH 781 BCD	Explanation of Voluntary Admission Rights
MH 781E	Notification of Admission of Child (English and Spanish)
MH 782	Bill of Rights (English and Spanish)
MH 783	Application for Involuntary Emergency Examination & Treatment
MH 783A	Explanation of Rights Under Involunary Emergency Treatment (English and Spanish)
MH 783B	Explanation of Warrant (English and Spanish)
MH 783-S	Application for Involuntary Emergency Examination & Treatment - Spanish
MH 784	Application for Extended Involuntary Treatment
MH 784A	Notice of Intent to File a Petition for Extended Involuntary Treatment and Explanation of Rights (English and Spanish)
MH 784-S	Application for Extended Involuntary Treatment - Spanish
MH 785	Mental Health Procedures Act of 1976 - Petition for Involuntary Treatment
MH 785-S	Mental Health Procedures Act of 1976 - Petition for Involuntary Treatment - Spanish
MH 785A	Notice With Intent to File a Petition for Extended Involuntary Treatment and Explanation of Rights (English and Spanish)
MH 785B	Notice of a Hearing on Petition for Involuntary Treatment and Explanation of Rights
MH 786	Petition for Involuntary Treatment Via the Criminal Justice System
MH 786 A	Notice of Intent to File a Petition for (Extended) Involuntary Treatment and Explanation of Rights (English and Spanish)
MH 787	Petition for Commitment for Involuntary Treatment After Finding of Incompetency
MH 787-S	Petition for Commitment for Involuntary Treatment After Finding of Incompetency - Spanish
MH 788	Petition to Transfer for Persons in Involuntary Treatment
MH 788.1	Notice of a Hearing on a Petition to Transfer for Involuntary Treatment and Explanation of Rights
MH 788.2	Transfer of Involuntarily Committed Persons from Inpatient to Outpatient Status
MH/MR 11	Authorization for Service
MH/MR 13	Service Rendered Report

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