After a 72-hour hold in California, a facility uses this notice to certify a person for 14 days of intensive treatment under Welfare and Institutions Code section 5250, or an additional 30 days for grave disability under section 5270.15. It states whether the person is a danger to others, a danger to self or gravely disabled, the specific facts, and the voluntary services the person would not accept.
The professional person in charge of the facility, or a designee, and the physician or licensed psychologist who took part in the evaluation sign the certification. A third signature confirms that a copy was delivered to the person and the court was notified.
Download the current version from the source each time; forms change without notice.
Notice of Certification for Intensive Treatment Pursuant to Section 5250 (14 Days Intensive Treatment) or 5270.15 (Additional 30 Days Intensive Treatment for Grave Disability) of the Welfare and Institutions Code
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Signers follow Welfare and Institutions Code 5251: the professional person in charge of the facility providing evaluation, or a designee, and the physician or licensed psychologist who participated in the evaluation. A separate signature confirms that a copy was delivered to the person and that the court was notified.
Yes. The Department of Health Care Services posts a Spanish version of the DHCS 1808 alongside the English form on its mental health forms page, both in fillable PDF format.
Unless the person requests judicial review, a certification review hearing is held within four days of the date of certification, and an attorney or advocate visits the person to help prepare or answer questions. The original notice is filed with the superior court.