Adhs bhs form mh 105 2025

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The document is a petition form (ADHS/DBHS Form MH-105) used in the Superior Court of Arizona to request a court-ordered evaluation for an individual suspected of having a mental disorder. It outlines the petitioner's allegations regarding the individual's mental health status, potential dangers they may pose to themselves or others, and their unwillingness or inability to undergo voluntary evaluation. The petitioner provides supporting facts and requests the court to mandate either inpatient or outpatient evaluation.

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Click ‘Get Form’ to open the ADHS/BHS Form MH-105 in the editor.
Begin by filling in the petitioner’s information, including name and address. This section is crucial as it identifies who is requesting the evaluation.
Provide details about the individual requiring evaluation, including their name and current location. Ensure accuracy to facilitate the court process.
In sections 3 through 9, clearly outline the reasons for believing that the individual has a mental disorder. Use specific facts to support your claims regarding danger to self or others.
Complete the applicant information section, detailing your relationship to the proposed patient. This helps establish your authority in making this petition.
Finally, indicate whether you believe immediate hospitalization is necessary and specify if you are requesting inpatient or outpatient evaluation before signing and dating the form.

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