Kentucky district courts use the AOC-720A when a petition seeks 60-day or 360-day involuntary psychiatric hospitalization under KRS 202A. A clinician meets it after examining the respondent before the final hearing. The sworn certification records whether the respondent has a mental illness, presents a danger, can benefit from treatment, and whether hospitalization is the least restrictive alternative, with supporting facts for each.
A qualified mental health professional completes the whole two-page affidavit, checking one credential from the KRS 202A.011 list printed on page 1. A notary or other official completes the sworn-statement block at the end.
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Examination Certification for Involuntary Hospitalization
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Two certifications are typically required for the final hearing on a 60-day or 360-day involuntary hospitalization, and one of the two examiners should be a psychiatrist. Each examiner completes and swears to a separate AOC-720A after their own examination of the respondent.
The form describes it as treatment that gives an individual with a mental illness a realistic opportunity to improve their level of functioning, consistent with accepted professional practice, in the least confining setting available. The examiner states whether hospitalization meets that standard and gives supporting facts.
Yes. Item 4 asks for the examiner's diagnostic impression after the four criteria are addressed. The examination date is recorded in item 3 together with the respondent's name, and the form is then signed with the examiner's title before a notary.