Kentucky circuit courts use the AOC-708.3 in KRS Chapter 202C proceedings, which concern people with an intellectual disability who were found incompetent to stand trial and are considered dangerous. A clinician meets it when the court orders an examination before the commitment hearing. The sworn certificate tells the judge whether the respondent meets the commitment criteria and gives the facts and diagnostic impression behind that opinion.
A qualified mental health professional under KRS Chapter 202C completes the whole two-page affidavit after checking the box for their credential: physician, psychiatrist, licensed psychologist, qualifying psychiatric nurse, social worker, marriage and family therapist, professional counselor or physician assistant. A notary completes the sworn-statement block.
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Examination Certificate for Involuntary Commitment
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Any qualified mental health professional under KRS Chapter 202C. The form lists the categories: Kentucky-licensed physicians and psychiatrists, psychologists licensed under KRS Chapter 319, psychiatric nurses with set education and experience, and social workers, marriage and family therapists, professional counselors and physician assistants who meet experience and employment requirements.
The form says to submit it no fewer than seven days before the hearing, not counting weekends and holidays. The certificate must also be sworn before a notary, so the examination, the written findings and the notarization all have to be finished before that cutoff.
A checked opinion on whether the respondent meets the KRS 202C commitment criteria, the facts behind each criterion with supporting documents attached, a diagnostic impression and the date of the examination. When the criteria are not met, only the examination date is required.