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Fill and Sign the Drones on the Bayou Louisiana State Bar Association Form

Fill and Sign the Drones on the Bayou Louisiana State Bar Association Form

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Open the document and fill out all its fields.
Apply your legally-binding eSignature.
Save and invite other recipients to sign it.

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PSYCHIATRIC ADVANCE DIRECTIVE (Wyoming Statutes 35-22-302) I, _________________________________________________ being over eighteen years of age and of sound mind, willfully and voluntarily make known my desires regarding the use of psychiatric restabilization measures. I understand that "psychiatric restabilization" means measures to restore mental function or to support mental health in the event of destabilization of mental health due to lack of appropriate treatment. Psychiatric restabilization measures include administration of prescribed liquid medication by mouth or injection, administration of prescribed medication orally, physical restraint, seclusion or crisis psychiatric counseling.It is my desire that psychiatric restabilization measures _____ be used in treatment for me._____ NOT BE USED IN TREATMENT FOR ME. Signed this the _______________ day of __________________, 20____________. Signature: _____________________________________________________________________Printed Name: ________________________________________________________Date of Birth: __________________ Sex: __________________Hair Color: __________________ Eye Color: __________________Race/Ethnic Background: ______________________________Social Security Number: _____________________________Sponsoring Facility/Institution of Enrollment (if applicable): ________________________________________________________ Signature of Attending Physician/Psychiatric Personnel: ____________________________________________________________Printed Name of Attending Physician/Psychiatric Personnel: ________________________________________________________Address of Attending Physician/Psychiatric Personnel: ________________________________________________________Telephone Number of Attending Physician/Psychiatric Personnel: ________________________________________________________

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The best way to complete and sign your drones on the bayou louisiana state bar association form

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