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Form MHCC-3 Physician's Emergency Certificate for No More Than 15 Days Care and Treatment in a Hospital for Psychiatric Disabilities - Connecticut
What Is Form MHCC-3?
This is a legal form that was released by the Connecticut Department of Mental Health & Addiction Services - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form MHCC-3?
A: Form MHCC-3 is the Physician's Emergency Certificate for No More Than 15 Days Care and Treatment in a Hospital for Psychiatric Disabilities in Connecticut.
Q: What is the purpose of Form MHCC-3?
A: The purpose of Form MHCC-3 is to provide authorization for emergency psychiatric care and treatment in a hospital for a maximum of 15 days.
Q: Who can complete and sign Form MHCC-3?
A: Form MHCC-3 can only be completed and signed by a licensed physician.
Q: How long is the authorized period of care and treatment on Form MHCC-3?
A: Form MHCC-3 authorizes care and treatment in a hospital for psychiatric disabilities for a maximum of 15 days.
Q: Is Form MHCC-3 specific to Connecticut?
A: Yes, Form MHCC-3 is specific to Connecticut.
Q: Are there any fees associated with submitting Form MHCC-3?
A: There are no fees associated with submitting Form MHCC-3.
Q: Can Form MHCC-3 be submitted electronically?
A: It is recommended to submit Form MHCC-3 in person or by fax, as electronic submissions may not be accepted.
Q: Is Form MHCC-3 valid for longer than 15 days?
A: No, Form MHCC-3 is valid for a maximum of 15 days only.
Q: Can Form MHCC-3 be used for non-psychiatric hospital care?
A: No, Form MHCC-3 is specifically for care and treatment in a hospital for psychiatric disabilities.
Form Details:
- Released on September 1, 2008;
- The latest edition provided by the Connecticut Department of Mental Health & Addiction Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form MHCC-3 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Mental Health & Addiction Services.
Download Form MHCC-3 Physician's Emergency Certificate for No More Than 15 Days Care and Treatment in a Hospital for Psychiatric Disabilities - Connecticut
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