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Psychiatric Forms



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Psychiatric forms can only be filed by a Chief Clinical Officer of a hospital, Probation Officer, or an individual with the approval of Netcare.  

PC-MI-50.1 Special Pickup Information
PC-MI-50.2 Affidavit of Mental Illness
PC-MI-50.3 Case History of Mental Illness
PC-MI-50.4 Application to Authorize Medication or Medical Procedure
PC-MI-50.6 Case History of Mental Retardation
PC-MI-50.6B Affidavit of Mental Retardation
PC-MI-50.7 Certificate of Examination
 
 
Lawrence A. Belskis, Judge
  Lawrence A. Belskis
              Judge
 
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