After an application for involuntary hospitalization in Iowa, the court designates a physician or mental health professional to examine the respondent under Iowa Code 229.10. This report gives the examiner's judgment on mental illness, treatability, decision-making capacity, dangerousness and inability to meet basic needs, plus whether the respondent can be evaluated as an outpatient or released to a relative during evaluation.
The physician or mental health professional designated by the court completes and signs the whole report. If a qualified mental health professional assisted with the exam, name them and attach their written report.
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Physician or Mental Health Professional's Report of Examination
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Fees for the court-ordered examination are not claimed on the report itself. Examiners file a separate claim on Rule 12.36 Form 14b, Claim for Physician Fees, which belongs to the same Rule 12.36 set of involuntary hospitalization forms.
Yes. The form may be signed with a digitized signature, following the instructions on the Iowa Judicial Branch court forms page, or printed and signed by hand before filing. The signature block also asks for your title and facility.
Item 2 covers name, address, date and place of birth, sex, occupation, marital status, children and nearest relative. Item 3 asks whether this is an examination under Iowa Code 229.10, and item 4 whether a mental health professional assisted.