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Form DMH572-01-A Emergency Certificate - North Carolina
What Is Form DMH572-01-A?
This is a legal form that was released by the North Carolina Department of Health and Human Services - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is a DMH572-01-A?A: A DMH572-01-A is an Emergency Certificate.
Q: What is the purpose of the DMH572-01-A?A: The purpose of the DMH572-01-A is to provide certification for individuals in North Carolina who are in immediate need of emergency mental health treatment.
Q: Who can issue a DMH572-01-A?A: A DMH572-01-A can be issued by a qualified professional, such as a physician or psychologist, who has determined that the individual meets the criteria for an emergency certificate.
Q: How long is a DMH572-01-A valid for?A: A DMH572-01-A is typically valid for up to 24 hours, during which the individual can receive emergency mental health treatment.
Q: What are the requirements for obtaining a DMH572-01-A?A: To obtain a DMH572-01-A, the individual must meet specific criteria, such as presenting a danger to themselves or others due to mental illness and being unwilling or unable to seek voluntary treatment.
Q: Is a DMH572-01-A a voluntary form of treatment?A: No, a DMH572-01-A is not voluntary. It is used when an individual is unwilling or unable to seek voluntary treatment, but is in immediate need of emergency mental health treatment.
Q: Who can receive emergency mental health treatment with a DMH572-01-A?A: Only individuals who have been issued a DMH572-01-A can receive emergency mental health treatment in North Carolina.
Q: What happens after the expiration of a DMH572-01-A?A: After the expiration of a DMH572-01-A, the individual may need to pursue further treatment options, such as a voluntary commitment or other forms of mental health support.
Q: Is a DMH572-01-A specific to North Carolina?A: Yes, the DMH572-01-A is specific to North Carolina and is not valid in other states.
Form Details:
- Released on September 1, 2001;
- The latest edition provided by the North Carolina Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DMH572-01-A by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the North Carolina Department of Health and Human Services.
Download Form DMH572-01-A Emergency Certificate - North Carolina
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