Instructions for Form DC-4022 Tracking Document for Sending or Receiving Mandatory Outpatient Treatment Order Upon Transfer - Virginia

This document contains official instructions for Form DC-4022 , Tracking Document for Sending or Receiving Mandatory Outpatient Treatment Order Upon Transfer - a form released and collected by the Virginia District Court.

FAQ

Q: What is Form DC-4022?
A: Form DC-4022 is a tracking document for sending or receiving a Mandatory Outpatient Treatment (MOT) Order upon transfer in Virginia.

Q: What is the purpose of Form DC-4022?
A: The purpose of Form DC-4022 is to facilitate the transfer of the MOT Order between facilities and ensure continuity of treatment for individuals.

Q: Who uses Form DC-4022?
A: Facilities and healthcare professionals involved in the transfer of individuals under an MOT Order in Virginia use Form DC-4022.

Q: What information is included in Form DC-4022?
A: Form DC-4022 contains information about the individual, the current facility, the receiving facility, and details of the MOT Order.

Q: Is Form DC-4022 mandatory?
A: Yes, the use of Form DC-4022 is mandatory for transferring the MOT Order in Virginia.

Q: Can Form DC-4022 be used for other purposes?
A: No, Form DC-4022 is specifically designed for tracking the transfer of MOT Orders and should not be used for other purposes.

Q: Who should complete Form DC-4022?
A: The current facility transferring the MOT Order is responsible for completing Form DC-4022.

Q: How should Form DC-4022 be submitted?
A: Form DC-4022 should be submitted electronically or via fax to the receiving facility before the transfer of the individual.

Q: Are there any additional requirements for transferring MOT Orders?
A: Yes, apart from using Form DC-4022, the transferring facility must also provide a copy of the MOT Order, clinical records, and a notice of transfer to the receiving facility.