1013 form-2025

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The document outlines the procedures and requirements for completing Form 1013, which certifies the need for involuntary transportation of individuals with mental health issues to an emergency receiving facility in Georgia. It details the criteria for determining mental illness and imminent risk, the responsibilities of licensed professionals in evaluating individuals, and the necessary documentation for peace officers during transportation. The form is designed to ensure that individuals requiring urgent mental health care are safely and effectively transported to appropriate facilities.

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Click ‘Get Form’ to open the 1013 form in the editor.
Fill in the county where the individual is currently located, not where the Emergency Receiving Facility (ERF) is situated.
Enter the name of the individual and the date/time of evaluation, ensuring it falls within 48 hours prior to signing.
Indicate whether the individual presents a substantial risk of harm to self or others by checking either option A or B.
Provide observations that support your opinion on the individual's mental state, detailing any overt acts or threats made.
Complete the signature section with your credentials and date/time of signing.
After confirming acceptance from the ERF, complete the bottom section of the form.

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How does a 1013 work in Georgia?

The criteria for using a 1013 form include the presence of a mental illness, a substantial risk of harm to self or others, and an inability to make informed decisions about treatment, as guided by principles outlined in 1, which highlights the importance of patient rights and thorough evaluation.

What is form 1013?

The purpose of a 1013 form is to ensure the safety and well-being of the individual experiencing the mental health crisis, as well as those around them.

What is a 1013 form in Georgia?

A 1013 says a patient needs additional mental health assessments and treatment to ensure their safety.

What does 1013 mean in the hospital?

Form 1310 is a tax form that is used to claim a refund for a deceased taxpayer. Form 1310 informs the Internal Revenue Service (IRS) that a taxpayer has died and that a refund is being claimed by their beneficiaries and/or estate.