SOP 508.25-att-2: Certificate of Mental Condition (Form M65-01-02)

Division:
Unknown
Effective Date:
August 2, 2022
Topic Area:
Mental Health Evaluations/Screenings/Treatment
PowerDMS:
View on PowerDMS
Length:
68 words

Summary

This form is used to document and certify an offender's mental health condition for official GDC records. The completed certificate is provided to the Psychiatric Hospital (original) with copies filed in the offender's mental health and medical files. Records are retained for 10 years following the end of the offender's mental health services and/or sentence.

Key Topics

  • mental health evaluation
  • psychiatric assessment
  • certificate of mental condition
  • offender mental health
  • medical documentation
  • psychiatric hospital referral
  • mental health screening
  • health records
  • form M65-01-02

Full Text

SOP 508.25
Attachment 2

8/2/22

Form no. M65-01-02 Page 1 of 1

Retention Schedule: Completed forms shall be given to the Psychiatric Hospital (original), a copy placed in the offender’s mental

health file (section 5) and medical file (section 5). At the end of the offender’s need for mental health services and/or sentence, the
mental health file will be placed within the offender’s health record and retained for 10 years.

Attachments (5)

  1. Certificate of Referral for Emergency Admission (Form M65-01-01) (136 words)
  2. Certificate of Mental Condition (Form M65-01-02) (68 words)
  3. Emergency Admission Rights of Offenders (Form M65-01-03) (690 words)
  4. Notification of Involuntary Hospitalization Due Process Committee Hearing (181 words)
  5. Involuntary Psychiatric Hospital Admission Review (Form M65-01-05) (385 words)
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