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Fill and Sign the Mc 420 Conditions of Early Release to Outpatient Treatment Form

Fill and Sign the Mc 420 Conditions of Early Release to Outpatient Treatment Form

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MC-420 (12/87)(cs) AS 47.30.795 CONDITIONS OF EARLY RELEASE TO OUTPATIENT TREATMENT IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Necessity ) for the Hospitalization of: ) ) , ) Case No. Respondent. ) ) CONDITIONS OF EARLY RELEASE TO OUTPATIENT TREATMENT 1. It has been determined that it is not necessary for the respondent to be treated as an inpatient to prevent him/her from harming himsel f/herself or others. In addition, there is reason to believe that the respondent's mental condition would improve as a result of outpatient treatment. 2. , a provider of outpatient care located at Alaska, has agreed to accept the respondent for the duration of his/her commitment. 3. Conditions of respondent 's early release are: Date Signature of Professional Person In Charge or that Person's Professional Designee Print Name and Title I certify that on a copy of this document was mailed or delivered to: court respondent respondent's attorney attorney general respondent's guardian (if any) the outpatient treatm ent center named above By: Treatment Facility Personnel

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The best way to complete and sign your mc 420 conditions of early release to outpatient treatment form

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