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Fill and Sign the Involuntary Commitment Assisted Treatment Standards 50 States Form

Fill and Sign the Involuntary Commitment Assisted Treatment Standards 50 States Form

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IN THE CHANCERY COURT OF COUNTY, MISSISSIPPI IN THE INTEREST OF: CAUSE NO. ORDER FOR INVOLUNTARY EMERGENCY COMMITMENT This cause came on this day for a hearing upon the duly sworn Application of to have committed to in , Mississippi, for detention, care and treatment as a mental patient, and the Court having fully inquired and been informed in the premises and having heard and considered the evidence finds as follows: That the Court has jurisdiction of the parties and of the subject matter hereof and the Respondent is in need of care pending the evaluation of and that the patient should be carried by the Sheriff of County, Mississippi, to , , County, Mississippi, and that any bill for said services shall be sent to It is therefore, ORDERED AND ADJUDGED that said should be carried by the Sheriff of County, Mississippi, to , , County, Mississippi, and that any bill for said services shall be sent to and paid by ORDERED AND ADJUDGED this the day of 20 . _______________________________ CHANCELLOR

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