Sworn certification by a qualified mental health professional that a person meets criteria for emergency 72-hour involuntary hospitalization under KRS 202A.
- Completed by
- Qualified mental health professional (physician, psychiatrist, psychologist, APRN, LCSW, LPCC, LMFT, PA and others listed in KRS 202A.011)
- Issued by
- Kentucky Court of Justice, Administrative Office of the Courts
- Format
- Fillable PDF
- Language
- English