Form DMH5-72-19 First Examination for Involuntary Commitment - North Carolina

What Is Form DMH5-72-19?

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 the DMH5-72-19 form?
A: The DMH5-72-19 form is the First Examination for Involuntary Commitment in North Carolina.

Q: Who is the form for?
A: The form is for individuals who may be subject to involuntary commitment in North Carolina.

Q: What is the purpose of the form?
A: The purpose of the form is to initiate the process of involuntary commitment by requesting a first examination.

Q: What information is required on the form?
A: The form requires information about the individual's name, address, reason for the examination request, and the names of two persons who know the individual.

Q: How should the form be completed?
A: The form should be completed accurately and legibly, providing all requested information.

Q: Can I submit the form anonymously?
A: No, the form requires the name and address of the person making the examination request.

Q: What happens after the form is submitted?
A: After the form is submitted, a first examination will be scheduled to determine if involuntary commitment is necessary.

Q: Is there a cost for submitting the form?
A: There may be a cost associated with the examination, which can vary depending on the circumstances.

Q: Who can I contact for more information about the DMH5-72-19 form?
A: For more information, you can contact the North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse Services.