Conditions Of Early Release To Outpatient Treatment
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Conditions Of Early Release To Outpatient Treatment Form. This is a Alaska form and can be use in Mental Commitment Statewide.
Tags: Conditions Of Early Release To Outpatient Treatment, MC-420, Alaska Statewide, Mental Commitment
IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
In the Matter of the Necessity
for the Hospitalization of:
CONDITIONS OF EARLY RELEASE
TO OUTPATIENT TREATMENT
It has been determined that it is not necessary for the respondent to be treated
as an inpatient to prevent him/her from harming himself/herself or others. In
addition, there is reason to believe that the respondent's mental condition would
improve as a result of outpatient treatment.
, a provider of outpatient care
Alaska, has agreed to accept the
respondent for the duration of his/her commitment.
Conditions of respondent's early release are:
Signature of Professional Person In Charge
or that Person's Professional Designee
Print Name and Title
I certify that on
a copy of this document was mailed
or delivered to:
respondent's guardian (if any)
the outpatient treatment center named above
Treatment Facility Personnel
CONDITIONS OF EARLY RELEASE TO OUTPATIENT TREATMENT
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