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The document outlines the procedures for the emergency admission of individuals deemed mentally ill to a mental health facility in Nevada. It defines 'mentally ill person' and specifies criteria indicating a clear and present danger to self or others, requiring medical examination and clearance before transport. The form includes sections for detailing observed behaviors, certification by licensed professionals, and ensuring that no other medical issues necessitate immediate treatment.

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Click ‘Get Form’ to open the Application, Certification and Medical Clearance for Emergency Admission form in the editor.
Begin by filling in the personal details of the allegedly mentally ill person, including their name and any relevant identifiers. This information is crucial for proper documentation.
In the section regarding observed behaviors, provide a detailed account of actions that led you to believe the individual poses a danger to themselves or others. Avoid using medical diagnoses; focus on observable behaviors.
Complete the medical clearance section by having a licensed physician examine the individual. The physician must confirm there are no medical issues requiring immediate treatment before admission.
Ensure all signatures are obtained from authorized personnel, including your own as the person completing the form. Double-check that all fields are filled accurately before submission.

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Printable legal forms 2025

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