Documents a hospital staff physician's finding that a person needs immediate involuntary inpatient care because of a mental illness likely to result in serious harm, and a staff psychiatrist's confirmation for retention beyond 48 hours.
- Completed by
- Staff physician of the admitting hospital (section II) and a second physician on the hospital's psychiatric staff (section III)
- Issued by
- New York State Office of Mental Health
- Format
- Fillable PDF
- Language
- English