Ohio probate courts use Standard Probate Form 26.1 when a petitioner seeks court-ordered involuntary treatment for alcohol and other drug abuse under Casey's Law, R.C. 5119.92 and 5119.93. A clinician meets it when asked to examine the respondent named in the petition. The physician states whether the respondent has alcohol or drug abuse, presents a danger, and can benefit from treatment, and recommends a type and length of treatment.
A physician as defined in R.C. Chapter 4731 who examined the respondent completes the whole two-page certificate, including the facilities list on the reverse, and signs with their license number.
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Certificate of Physician
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Only a physician as defined in Chapter 4731 of the Ohio Revised Code who has examined the respondent. The physician records the examination date, checks each finding, describes the facts supporting the alcohol or drug abuse finding and the need for treatment, and signs with a license number.
Yes. The reverse side asks the physician to certify which treatment providers they know are willing and able to provide the recommended treatment, listing each provider's name and contact number, alongside the recommended inpatient or outpatient setting and length of treatment on the front.