FORM MH-403 Gc Order Renewing Inpatient

• Legal Form Number: FORM MH-403
• Date: 01 January 2022
• Section: AZ MH Forms Annotated

FORM MH-403

(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. __________ ORDER RENEWING INPATIENT MENTAL HEALTH CARE AND TREATMENT AUTHORITY Hearing on __________at __________

Having considered the Motion to Renew Inpatient Mental Health Care and Treatment Authority, the annual report, the evaluation report, and the evidence presented [and no objection having been received], the Court finds by clear and convincing evidence, (subject person's name) is incapacitated as a result of a mental disorder as defined by A.R.S. § 36-501(25) and is likely to need inpatient mental health care and treatment within the next year, including placement in a level one behavioral health facility licensed by the Arizona Department of Health Services and the medical psychiatric and psychological treatment associated with that placement.

IT IS ORDERED:

A. Renewing Guardian's authority pursuant to A.R.S. §§ 14-5312 and -5312.01(B) 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 the medical, psychiatric, and psychological treatment...