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.
Q: What is Form MHCC-1A?
A: Form MHCC-1A is a Psychologist Emergency Examination Request.
Q: What is the purpose of Form MHCC-1A?
A: The purpose of Form MHCC-1A is to request a psychologist emergency examination.
Q: Who can use Form MHCC-1A?
A: Form MHCC-1A can be used by individuals who are seeking a psychologist emergency examination in Connecticut.
Q: Is there a fee for submitting Form MHCC-1A?
A: There may be a fee associated with submitting Form MHCC-1A. Please contact the Connecticut Department of Mental Health and Addiction Services for more information.
Q: What happens after I submit Form MHCC-1A?
A: After you submit Form MHCC-1A, the Connecticut Department of Mental Health and Addiction Services will review your request and determine if an emergency examination is necessary.
Q: Can I request a psychologist emergency examination for someone else using Form MHCC-1A?
A: Yes, you can use Form MHCC-1A to request a psychologist emergency examination for someone else.
Q: Are there any specific requirements for submitting Form MHCC-1A?
A: Yes, there may be specific requirements for submitting Form MHCC-1A. Please refer to the instructions on the form or contact the Connecticut Department of Mental Health and Addiction Services for more information.
Form Details:
Download a printable version of Form MHCC-1A by clicking the link below or browse more documents and templates provided by the Connecticut Department of Mental Health & Addiction Services.