Form 2F-P-527 "Order Authorizing Emergency Examination and Treatment" - Hawaii

What Is Form 2F-P-527?

This is a legal form that was released by the Hawaii Family Court - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the Hawaii Family Court;
  • 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 fillable version of Form 2F-P-527 by clicking the link below or browse more documents and templates provided by the Hawaii Family Court.

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Download Form 2F-P-527 "Order Authorizing Emergency Examination and Treatment" - Hawaii

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IN THE FAMILY COURT OF THE SECOND CIRCUIT
STATE OF HAWAI`I
IN THE INTEREST OF
)
FC-M NO. ________________
)
)
ORDER AUTHORIZING EMERGENCY
)
EXAMINATION AND TREATMENT
)
)
)
)
)
RESPONDENT-SUBJECT
SUBJECT’S INFORMATION:
____________________________________________________________________________________
(NAME)
____________________________________________________________
____________________________________________________________
___________________
(CURRENT ADDRESS)
(PHONE NO)
____________________________________________________________
____________________________________________________________
___________________
(PERMANENT ADDRESS)
(PHONE NO)
_____________________________
_____
___________________________
(BIRTHDATE OR AGE)
(SEX)
(MARITAL STATUS)
The attached application was filed in this court. Judge ________________________
was informed of the allegations regarding the above-named subject on _________________,
at _______ ___. M., and it appears there is probable cause to believe the following:
2F-P-527
RG-AC-508 (8/17)
(7-21-2017)
IN THE FAMILY COURT OF THE SECOND CIRCUIT
STATE OF HAWAI`I
IN THE INTEREST OF
)
FC-M NO. ________________
)
)
ORDER AUTHORIZING EMERGENCY
)
EXAMINATION AND TREATMENT
)
)
)
)
)
RESPONDENT-SUBJECT
SUBJECT’S INFORMATION:
____________________________________________________________________________________
(NAME)
____________________________________________________________
____________________________________________________________
___________________
(CURRENT ADDRESS)
(PHONE NO)
____________________________________________________________
____________________________________________________________
___________________
(PERMANENT ADDRESS)
(PHONE NO)
_____________________________
_____
___________________________
(BIRTHDATE OR AGE)
(SEX)
(MARITAL STATUS)
The attached application was filed in this court. Judge ________________________
was informed of the allegations regarding the above-named subject on _________________,
at _______ ___. M., and it appears there is probable cause to believe the following:
2F-P-527
RG-AC-508 (8/17)
(7-21-2017)
page 2
Continued
The subject of this proceeding is:
[ ] mentally ill
[ ] suffering from substance abuse,
and is imminently dangerous to:
[ ] self
[ ] others
and is in need of care and/or treatment.
The court issued an oral order as set forth in the application on __________________,
at _______ ___. M.
IT IS HEREBY ORDERED that any police officer or other suitable person to take the
subject into custody and deliver him/her to:
[ ] Queen’s Medical Center and/or Hawai`i State Hospital
[ ] Maui Memorial Medical Center Emergency Room for admission to the
Molokini Unit
for emergency examination and treatment.
IT IS FURTHER ORDERED that the above-named subject shall be discharged from
the above-mentioned facility within forty-eight (48) hours from the time of his/her admission
unless the subject voluntarily agrees to further hospitalization or a proceeding for court-
ordered evaluation and/or hospitalization is initiated. If forty-eight (48) hours expires on a
Saturday, Sunday or holiday, the time is extended to noon of the next court day. If it is found
that the subject no longer meets the criteria for emergency hospitalization, he/she shall be
discharged unless the subject is under criminal charges, in which case he/she shall be
returned to the custody of a law enforcement officer.
_________________________
________________________________
(Date)
(Judge’s Signature)
______________________________________
(Judge’s Name)
RESET FORM
2F-P-527
(7-21-2017)
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