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Petition for Involuntary Mental Health Hold

Petition for emergency involuntary psychiatric evaluation and treatment of a person who poses an imminent danger to themselves or others.

PDF TemplateUse the instructions below to complete this form

Instructions

State the specific facts demonstrating imminent danger: recent actions, statements, or behaviors indicating the person is a danger to self or others or is gravely disabled. Include the petitioner's relationship to the individual. Initial holds are typically 72 hours for evaluation. A court hearing is required for extended commitment. Laws vary significantly by state regarding who may file and the standard of proof.