Form MH-5475 4th Day Request for Additional 24 Hours of Treatment at a Crisis Stabilization Unit - Tennessee

Form MH-5475 4th Day Request for Additional 24 Hours of Treatment at a Crisis Stabilization Unit - Tennessee

What Is Form MH-5475?

This is a legal form that was released by the Tennessee Department of Mental Health & Substance Abuse Services - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MH-5475?
A: Form MH-5475 is a request form for an additional 24 hours of treatment at a Crisis Stabilization Unit in Tennessee.

Q: Who can use Form MH-5475?
A: Anyone in Tennessee who is receiving treatment at a Crisis Stabilization Unit and needs an additional 24 hours of treatment can use this form.

Q: How do I use Form MH-5475?
A: You need to fill out the form with your information and the reason why you need an additional 24 hours of treatment. Then, submit the form to the appropriate authority at the Crisis Stabilization Unit.

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Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Tennessee Department of Mental Health & Substance Abuse Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form MH-5475 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Mental Health & Substance Abuse Services.

Download Form MH-5475 4th Day Request for Additional 24 Hours of Treatment at a Crisis Stabilization Unit - Tennessee

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  • Form MH-5475 4th Day Request for Additional 24 Hours of Treatment at a Crisis Stabilization Unit - Tennessee, Page 1
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