NOTICE OF RIGHTS UPON EMERGENCY DETENTION You are here because a law enforcement officer or a qualified healthcare professional has concerns for your well-being and signed a "Notice of Emergency Detention and Application for Evaluation." The person who signed this Notice believes this is an emergency and that you are mentally ill. They also believe that as a result of your illness, you are gravely disabled or likely to cause serious harm to yourself or others. Under the law, you may be held temporarily while we evaluate the situation. We want you to be aware of your rights. COMMUNICATION You have the right to communicate immediately with a lawyer, your parents (if you are a minor), your guardian (if you have one), and another adult of your choice. The government will pay for the telephone charges. If you do not have a lawyer, you may call a lawyer at the Public Defender Agency or you may hire your own lawyer. You can contact the Public Defender Agency at (907) 334-2580, or toll-free outside of Anchorage at (800) 478-4404, on weekdays, from 8:00 a.m. to noon and from 1:00 p.m. to 4:30 p.m. Your parents (if you are a minor) or your guardian (if you have one) will be told that you are here and will be told about your rights. You can request that another adult of your choice be told about your rights too. DETENTION If we think that you need further evaluation or treatment for your mental health illness, we will file papers with the court asking that you be held for up to 72 hours. That 72hour time does not include Saturdays, Sundays, legal holidays, or the time it takes for you to travel to an evaluation facility, if you are not already at an evaluation facility. If the court orders you to be hospitalized, the court will appoint a lawyer for you and you will be notified of your additional rights at that time. RELEASE You have the right to leave the hospital after your evaluation if we determine that, based on your mental health, there are no legal reasons to hold you. If you have any questions concerning these rights, you should call a lawyer, your guardian, or an adult friend. Delivered to verbally and in writing by Delivered to parent/guardian verbally and in writing by on on MC-404 (6/14)(cs) NOTICE OF RIGHTS UPON EMERGENCY DETENTION AS 47.30.710; AS 47.30.725 American LegalNet, Inc. www.FormsWorkFlow.com