Transfer Of Involuntary Committed Persons From Inpatient To Outpatient {MH 788.2}

TRANSFER OF INVOLUNTARILY COMMITTED PERSONS FROM INPATIENT TO OUTPATIENT STATUS MENTAL HEALTH PROCEDURES ACT OF 1976 SECTION 306 TO: FROM: ___________________________________ COUNTY ADMINISTRATOR ___________________________________ SUPERINTENDENT/ADMINISTRATOR OF MH FACILITY OR DESIGNEE AGE: SEX: NAME OF PERSON: (Last, First, Middle) NAME OF COUNTY PROGRAM: NAME OF BASE SERVICE UNIT: BSU NUMBER: NAME OF FACILITY: CURRENT COMMITMENT STATUS: NO. DAYS REMAINING ON COMMITMENT: We reviewed the treatment plan and records of (NAME OF PATIENT) on (DATE) , and determined that discharge to involuntary outpatient status is appropriate based on the findings as delineated below. FINDINGS: (Give details of the review of the treatment plan and records with particular emphasis on the inappropriateness of less restrictive alternatives). We plan to discharge (NAME OF PATIENT) from (SECTION 303, 304, 305) inpatient status and transfer him/her to outpatient status to (NAME OF COUNTY MENTAL HEALTH PROGRAM) on (DATE) . SIGNATURE DATE - At least 5 working days prior to transfer PRINT NAME A COPY OF THE CURRENT COURT ORDER MUST ACCOMPANY THIS FORM. MH 788.2 1/09 American LegalNet, Inc. www.FormsWorkFlow.com