FORM MH-401 Gc Motion to Renew Inpatient

• Legal Form Number: FORM MH-401
• Date: 01 January 2024
• Section: Az Mh Forms Annotated

FORM MH-401

(Attorney's name, State Bar No.)

(Attorney's law firm name)

(Law firm bar number)

(Address)

(Phone number)

(Attorney or firm's e-mail address)

Attorney for: __________

SUPERIOR COURT OF ARIZONA, __________ COUNTY

In the Matter of the Guardianship of [and Conservatorship for]: An Adult. NO. __________ MOTION TO RENEW INPATIENT MENTAL HEALTH CARE AND TREATMENT AUTHORITY

Pursuant to A.R.S. § 14-5312.01(P) and Rule 47(b), Ariz. R. Prob. P., Guardian, _______, requests an order renewing the authority to consent for (subject person's name) to receive inpatient mental health care and treatment, including placement in a level one behavioral health facility licensed by the Arizona Department of Health Services and medical, psychiatric, and psychological treatment associated with such placement.

1. The Court appointed Guardian on (appointment date),.

2. On (date), Guardian was granted authority to consent for (subject person's name) to receive inpatient mental health care and treatment, including placement in a level one behavioral health facility licensed by the Arizona Department of Health Services and medical, psychiatric, and psychological treatment associated with placement pursuant to A.R.S.
§ 14-5312.01(B). The authority terminates on (termination date).

3. Guardian filed an annual report and an evaluation report by a licensed...