Declaration for Mental Health Treatment

A “Declaration for Mental Health Treatment” allows people receiving services to plan ahead. It may also assist service providers in giving appropriate treatment.  The “Declaration for Mental Health Treatment” form describes what a service participant wants to occur when receiving mental health treatment. It describes mental health services that a service participant might consider, the conditions under which a declaration may be acted upon, and directions on how a service participant can revoke/cancel a declaration.

An individual may make a Declaration for Mental Health Treatment if she/he is 16 years old or an emancipated minor and has the capacity to make informed mental health treatment decisions.

For more information about the Declaration for Mental Health Treatment or to receive a copy in the mail, please reach out to our Office of Consumer Affairs Helpline staff who will be happy to assist you.  Their contact information is below.

cover page from Declaration for mental health treatment booklet showing blue background, tennessee tri-star stylized image, department of mental health and substance abuse services logo.

For More Information

If you have concerns or need services for yourself, a child, or family member, contact our Helpline:
Phone: 800-560-5767
Email: OCA.TDMHSAS@tn.gov
Hours: Monday – Friday: 8:00 a.m. to 4:30 p.m. (except for state holidays)

If you feel at any time that you are experiencing a mental health emergency, please call or text 988 and press 0 to speak to a trained counselor or chat with 988lifeline.org.