Virginia Civil Commitment & Medical Consent Forms For Doctors, Hospitals and Lawyers (INCLUDING EMERGENCY FORMS)

 

Judicial And Administrative (TB) Consent and Detention Forms
(Click Here For Judicial Consent Laws (Statutes))

 

 

 

bullet Emergency Medical Consent (Immediate Telephone Consent Required to Save Life / Prevent Disability – Patient in Medical Facility)
bullet Emergency Medical Transportation by EMS (Immediate Transport To Hospital) (Order Issued by Magistrate)
bullet Airborne Disease (Tuberculosis) Isolation Detention Orders and Treatment.
bullet Admission to Mandatory Outpatient Civil Commitment Following Order 
bullet Official Petition (Multipurpose Form DC-4001), Adult Petition for Involuntary Admission for Treatment.Complete the form and check the box (“[  ]”) to the right of the paragraph on page one (1) as follows:

[ ] This motion for mandatory outpatient treatment is filed pursuant to Virginia Code § 37.2-805 or § 37.2-817(C) as the respondent has been the subject of a temporary detention order and voluntarily admitted himself in accordance with § 37.2-814(B) or was involuntarily admitted pursuant to § 37.2-817(C), and on at least two previous occasions within 36 months preceding the date of the hearing, has been the subject of a temporary detention order and voluntarily admitted himself in accordance with § 37.2-814(B) or has been involuntarily admitted pursuant to § 37.2-817

(identified as item “19” in the official instructions) to prepare a motion for mandatory outpatient treatment pursuant to Virginia Code § 37.2-805 or § 37.2-817(C) for a patient who was the subject of a temporary detention order and who:

        (1) voluntarily admitted himself in accordance with § 37.2-814(B) or

        (2) was involuntarily admitted pursuant to § 37.2-817(C),

and on at least two previous occasions within 36 months preceding the date of the hearing, had been the subject of a temporary detention order and who (1) voluntarily admitted himself in accordance with § 37.2-814(B) or (2) had been involuntarily admitted pursuant to § 37.2-817.
bullet Official guidance issued August, 2012, regarding Mandatory Outpatient Treatment Orders.
   
bullet Related Official Forms:

Petition for Review of Mandatory Outpatient Treatment
[Form DC-4005]
Instructions
Petition for Rescission of Mandatory Outpatient Treatment
[Form DC-4010]
Instructions
Petition To Continue Mandatory Out Patient Treatment
[Form DC-4015]
Instructions
Tracking Document for Sending or Receiving Mandatory Outpatient Treatment Order Upon Entry
[Form DC-4020]
Instructions
Tracking Document for Sending or Receiving Mandatory Outpatient Treatment Order Upon Transfer
[Form DC-4022]
Instructions
Application for Copy of Recording of Commitment Hearing
[Form DC-4029]
Instructions
Waiver of Confidentiality of Court Records – Commitment for Mental Health Treatment
[Form DC-4032]
Instructions
Petition for Access to Dispositional Order
[Form DC-4035]
Instructions
Petition to Restore Right to Purchase, Possess or Transport a Firearm
[Form DC-4040]
Instructions

 

Non-Detention:

bullet Non Emergency Medical Consent
bullet Psychiatric Medicines or Electroconvulsive Consent