Reference: Ref-07006

Reference Name: CF-MH 3118, June 2016, Cover Sheet to Agency for Health Care Administration
Agency: 65 Department of Children and Families
65E Mental Health Program

Modified Document(s):
7/15/2016 Edited footnote for clarity.
7/21/2016 This form, "Cover Sheet to Department of Children and Families," was formerly titled "Cover Sheet to ...
Original Document(s):
5/26/2016 Each designated receiving facility, when submitting to the Agency for Health Care Administration certain recommended or ...
Description: Each designated receiving facility, when submitting to the Agency for Health Care Administration certain recommended or mandatory forms provided by professionals who initiate involuntary examination of a person, must use this form as a transmittal cover sheet.
Rules/Notices using this Reference Material
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
65E-5.280
Involuntary Examination 17679237 Effective:
07/05/2016