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How to use or fill out 3877 form with our platform
- Click ‘Get Form’ to open the 3877 form in the editor.
- Begin by filling out SECTION I, which includes patient information such as name, date of birth, gender, and address. Ensure all fields are accurately completed.
- Indicate whether the patient has a court-appointed guardian or legal representative. If yes, provide their details including name and contact information.
- In SECTION II, complete all six screening criteria regarding mental illness or dementia. Circle 'Yes' or 'No' as applicable and provide explanations for any 'Yes' responses.
- SECTION III requires a clinician's statement. Ensure that a qualified professional certifies the accuracy of the information provided and signs where indicated.
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