Dhmh2 2025

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60 votes

The document outlines the procedures and requirements for the involuntary admission of individuals with mental disorders in Maryland. It specifies that an application must be submitted by someone with a legitimate interest, accompanied by certificates from two physicians or one physician and one psychologist. The certificates must include a diagnosis, an opinion on the need for inpatient care, and justification for hospitalization to protect the individual or others. Additionally, it details the necessary documentation and compliance with civil rights regulations.

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Click ‘Get Form’ to open the dhmh2 document in the editor.
Begin by entering the name and facility of the physician or psychologist at the top of the form. Ensure that all details are accurate for proper identification.
Fill in the date of examination and complete the individual's personal information, including their name, address, birth date, age, race, sex, marital status, and social security number.
Provide details about the next of kin, including their name, relationship to the individual, and contact information.
In the diagnosis section, clearly state the mental disorder diagnosed along with any symptoms observed. This is crucial for supporting involuntary admission.
List current medications and emergency medications if applicable. This information is vital for ensuring appropriate care.
Check all relevant boxes regarding your findings about the individual's condition and needs for treatment before signing and dating the form.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (60 Votes)

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