Form DHCS1801 Application for up to 72-hour Assessment, Evaluation, and Crisis Intervention or Placement for Evaluation and Treatment - California

What Is Form DHCS1801?

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

FAQ

Q: What is form DHCS1801?
A: Form DHCS1801 is an application for up to 72-hour Assessment, Evaluation, and Crisis Intervention or Placement for Evaluation and Treatment in California.

Q: What is the purpose of form DHCS1801?
A: The purpose of form DHCS1801 is to request a temporary hold for assessment, evaluation, crisis intervention, or placement for evaluation and treatment in California.

Q: Who can fill out form DHCS1801?
A: Form DHCS1801 can be completed by a qualified person, such as a mental health professional or authorized designated person, in California.

Q: What information is required on form DHCS1801?
A: Form DHCS1801 requires information about the individual being assessed, including their name, contact information, reason for assessment, and signatures of the qualified person completing the form.