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Forms for Mandatory Outpatient Treatment

Model forms for Mandatory Outpatient Treatment can be found below. 

For more information, refer to the Mandatory Outpatient Treatment (MOT) Manual.

MH-5210

NOTICE TO COURT OF DISCHARGE SUBJECT TO MANDATORY OUTPATIENT TREATMENT UNDER T.C.A. §33-6-605

MH-5211

PETITION FOR JUDICIAL REVIEW OF MANDATORY OUTPATIENT
TREATMENT PLAN UNDER T.C.A. §33-6-604

MH-5212

ORDER UNDER T.C.A. §33-6-604 APPROVING A MANDATORY OUTPATIENT
TREATMENT PLAN

MH-5213

AFFIDAVIT REGARDING SERVICE RECIPIENT'S FAILURE TO COMPLY WITH MANDATORY OUTPATIENT TREATMENT PLAN WITHOUT GOOD CAUSE UNDER T.C.A. §33-6-609

MH-5214

ORDER TO APPEAR BEFORE THE COURT UNDER T.C.A. §33-6-610

MH-5215

ORDER FOLLOWING NON-COMPLIANCE HEARING UNDER T.C.A. §33-6-610

MH-5216

ORDER DIRECTING TEMPORARY RECOMMITMENT OF PERSON WHO FAILED TO APPEAR BEFORE COURT UNDER T.C.A. §33-6-611

MH-5217

NOTICE CONCERNING TEMPORARY RECOMMITMENT OF SERVICE RECIPIENT WHO FAILED TO APPEAR BEFORE COURT UNDER T.C.A. §33-6-611

MH-5218

ORDER DIRECTING SERVICE RECIPIENT TAKEN INTO CUSTODY AND EVALUATED UNDER T.C.A. §33-6-612

MH-5219

FINDINGS BY QUALIFIED MENTAL HEALTH PROFESSIONAL UNDER T.C.A. §§33-6-614 and 615

MH-5220

NOTICE TO COMMITTING COURT AND HOSPITAL THAT MANDATORY OUTPATIENT TREATMENT OBLIGATION IS TERMINATED UNDER T.C.A. §33-6-620

MH-5221

NOTICE THAT MANDATORY OUTPATIENT TREATMENT OBLIGATION IS RENEWED FOR SIX MONTHS UNDER T.C.A. §33-6-621

MH-5222

PETITION FOR JUDICIAL REVIEW OF DECISION TO RENEW MANDATORY OUTPATIENT TREATMENT OBLIGATION UNDER T.C.A. §33-6-622

MH-5223

ORDER FOLLOWING HEARING ON SERVICE RECIPIENT'S OBLIGATION TO PARTICIPATE IN MANDATORY OUTPATIENT TREATMENT UNDER T.C.A. §33-6-622

MH-5224

ORDER UNDER T.C.A. §33-7-303(b) APPROVING A MANDATORY OUTPATIENT TREATMENT PLAN

MH-5225

NOTICE OF REVIEW OF MANDATORY OUTPATIENT TREATMENT UNDER T.C.A. §33-7-303(b)

MH-5226


NOTICE OF REVIEW OF MANDATORY OUTPATIENT TREATMENT UNDER T.C.A. §33-7-303(b)

MH-5227

SAMPLE LETTER FOR ANNUAL REVIEW OFMANDATORY OUTPATIENT TREATMENT UNDER T.C.A. § 33-7-303(g)

MH-5228 SAMPLE LETTER REGARDING ACQUITTEE’S FAILURE TO COMPLY WITH MANDATORY OUTPATIENT TREATMENT PLAN UNDER T.C.A. § 33-7-303(b) OR T.C.A. § 33-7-303(g)
MH-5229 REQUEST TO COMMITTING COURT THAT MANDATORY OUTPATIENT TREATMENT OBLIGATION BE TERMINATED