Rule 12.36 Forms for involuntary hospitalization of mentally ill persons
Rule Text
Form 1: Application Alleging Serious Mental Impairment
Form 2: Affidavit in Support of Application Alleging Serious Mental Impairment
Form 3: Application for Appointment of Counsel and Financial Statement
Form 4: Physician or Mental Health Professional’s Report of Examination
Form 5: Stipulation Regarding Respondent’s Presence
Form 6: Notice of Medication
Form 7: Application for Extension of Time for Psychiatric Evaluation
Form 8: Chief Medical Officer’s Report of Psychiatric Evaluation
Form 9: Chief Medical Officer’s Periodic Report (Respondent Inpatient)
Form 10: Periodic Report (Respondent Outpatient)
Form 11: Periodic Report (Alternative Facility Placement)
Form 12: Notice of Appeal from Findings of Magistrate or Judicial Hospitalization Referee
Form 13: Attorney’s Motion to Withdraw
Form 14a: Claim for Attorney Fees
Form 14b: Claim for Physician Fees
Form 15: Notice of Appointment of Mental Health Advocate
Amendment history: Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024; August 22, 2025, effective October 21, 2025] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024 effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024