New Hampshire's 12-page petition starts an involuntary emergency admission (IEA) to a Designated Receiving Facility for a person whose mental illness makes them a likely danger to self or others under RSA 135-C:27. A petitioner describes the dangerous acts, then emergency department clinicians complete the physical and mental examinations and the certificate. The court holds a probable cause hearing within 3 days.
Any responsible person can be the single petitioner and completes the cover sheet and petitioner's statement; witnesses may add statements. A physician, PA, APRN or designee completes the examination pages, but only an approved NH-licensed physician, PA or APRN may sign the certificate.
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IEA Petition (Petition and Certificate for Involuntary Emergency Admission)
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A physician, physician assistant or APRN licensed in New Hampshire, on the list kept by the DHHS Commissioner and approved by a community mental health program or Designated Receiving Facility. The signer must not be a relative of the person. Designees may complete the physical or mental examination pages but may not sign the certificate.
The court appoints an attorney for the person and holds a probable cause hearing within 3 days of the clinician's signature on the certificate, not counting Sundays and holidays. The admission cannot exceed 10 days, excluding weekends, unless extended under RSA 135-C:32, and the certifying clinician may be required to appear.
Within the past 40 days: serious self-injury or a suicide attempt, threats of serious self-injury, or inflicting, attempting or threatening serious bodily harm to another. A lack of capacity to care for one's own welfare also qualifies, as does a set of criteria for people with severe mental disability who refuse necessary treatment.