Form DMH572-01-A Emergency Certificate - North Carolina

Form DMH572-01-A Emergency Certificate - North Carolina

What Is Form DMH572-01-A?

This is a legal form that was released by the North Carolina Department of Health and Human Services - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a DMH572-01-A?
A: A DMH572-01-A is an Emergency Certificate.

Q: What is the purpose of the DMH572-01-A?
A: The purpose of the DMH572-01-A is to provide certification for individuals in North Carolina who are in immediate need of emergency mental health treatment.

Q: Who can issue a DMH572-01-A?
A: A DMH572-01-A can be issued by a qualified professional, such as a physician or psychologist, who has determined that the individual meets the criteria for an emergency certificate.

Q: How long is a DMH572-01-A valid for?
A: A DMH572-01-A is typically valid for up to 24 hours, during which the individual can receive emergency mental health treatment.

Q: What are the requirements for obtaining a DMH572-01-A?
A: To obtain a DMH572-01-A, the individual must meet specific criteria, such as presenting a danger to themselves or others due to mental illness and being unwilling or unable to seek voluntary treatment.

Q: Is a DMH572-01-A a voluntary form of treatment?
A: No, a DMH572-01-A is not voluntary. It is used when an individual is unwilling or unable to seek voluntary treatment, but is in immediate need of emergency mental health treatment.

Q: Who can receive emergency mental health treatment with a DMH572-01-A?
A: Only individuals who have been issued a DMH572-01-A can receive emergency mental health treatment in North Carolina.

Q: What happens after the expiration of a DMH572-01-A?
A: After the expiration of a DMH572-01-A, the individual may need to pursue further treatment options, such as a voluntary commitment or other forms of mental health support.

Q: Is a DMH572-01-A specific to North Carolina?
A: Yes, the DMH572-01-A is specific to North Carolina and is not valid in other states.

ADVERTISEMENT

Form Details:

  • Released on September 1, 2001;
  • The latest edition provided by the North Carolina Department of Health and Human 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 DMH572-01-A by clicking the link below or browse more documents and templates provided by the North Carolina Department of Health and Human Services.

Download Form DMH572-01-A Emergency Certificate - North Carolina

4.7 of 5 (29 votes)
  • Form DMH572-01-A Emergency Certificate - North Carolina

    1

  • Form DMH572-01-A Emergency Certificate - North Carolina, Page 2

    2

  • Form DMH572-01-A Emergency Certificate - North Carolina, Page 1
  • Form DMH572-01-A Emergency Certificate - North Carolina, Page 2
Prev 1 2 Next
ADVERTISEMENT