405 ILCS 5 1-119 - Oregon State Legislature 2025

1. Click ‘Get Form’ to open the Inpatient Certificate in the editor.
2. Begin by entering the name of the individual in the designated field at the top of the form.
3. In the section regarding informing the individual, ensure you accurately document your communication about their rights and the purpose of the examination.
4. Fill in your signature, date, and time of examination in the appropriate fields.
5. Indicate whether the examination was conducted in person or via telepsychiatry by selecting the correct option.
6. Provide a detailed opinion based on your clinical observations and factual information in the specified area.
7. Select one of the options regarding involuntary or judicial inpatient admission that applies to your assessment.
8. Finally, complete your signature, title, and printed name at the bottom of the form before saving or sharing it.

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