SOP_NUMBER: 508.25-att-2
TITLE: Certificate of Mental Condition (Form M65-01-02)
DIVISION: Unknown
TOPIC_AREA: Mental Health Evaluations/Screenings/Treatment
EFFECTIVE_DATE: 2022-08-02
WORD_COUNT: 68
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/290538
URL: https://gps.press/sop-data/508.25-att-2/

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

ATTACHMENTS:
  1. Certificate of Referral for Emergency Admission (Form M65-01-01)
     URL: https://gps.press/sop-data/508.25-att-1/
  2. Certificate of Mental Condition (Form M65-01-02)
     URL: https://gps.press/sop-data/508.25-att-2/
  3. Emergency Admission Rights of Offenders (Form M65-01-03)
     URL: https://gps.press/sop-data/508.25-att-3/
  4. Notification of Involuntary Hospitalization Due Process Committee Hearing
     URL: https://gps.press/sop-data/508.25-att-4/
  5. Involuntary Psychiatric Hospital Admission Review (Form M65-01-05)
     URL: https://gps.press/sop-data/508.25-att-5/

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FULL TEXT:
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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.