Form MDS003 Verbal / Telephone Consent for Administration of Psychotropic Medication - San Bernardino County, California

What Is Form MDS003?

This is a legal form that was released by the Department of Behavioral Health - San Bernardino County, California - a government authority operating within California. The form may be used strictly within San Bernardino County. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MDS003?
A: Form MDS003 is a consent form for the administration of psychotropic medication.

Q: What type of consent does Form MDS003 cover?
A: Form MDS003 covers verbal/telephone consent.

Q: What is the purpose of Form MDS003?
A: The purpose of Form MDS003 is to obtain consent for the administration of psychotropic medication.

Q: Who is responsible for administering psychotropic medication?
A: The healthcare provider or authorized personnel are responsible for administering psychotropic medication.

Q: Is Form MDS003 specific to a certain age group?
A: No, Form MDS003 does not specify an age group.

Q: Can Form MDS003 be used for emergency situations?
A: Yes, Form MDS003 can be used for emergency situations if verbal consent is not possible.

Q: What information is included in Form MDS003?
A: Form MDS003 includes information about the medication, its benefits and risks, alternatives, and the right to refuse.

Q: Who signs Form MDS003?
A: The individual or their authorized representative signs Form MDS003.

Q: How long is the consent valid?
A: The consent is valid for 180 days, unless revoked in writing.