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.
NOTICE TO COURT OF DISCHARGE SUBJECT TO MANDATORY OUTPATIENT TREATMENT UNDER T.C.A. §33-6-605 |
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PETITION FOR JUDICIAL REVIEW OF MANDATORY OUTPATIENT |
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ORDER UNDER T.C.A. §33-6-604 APPROVING A MANDATORY OUTPATIENT |
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AFFIDAVIT REGARDING SERVICE RECIPIENT'S FAILURE TO COMPLY WITH MANDATORY OUTPATIENT TREATMENT PLAN WITHOUT GOOD CAUSE UNDER T.C.A. §33-6-609 |
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ORDER TO APPEAR BEFORE THE COURT UNDER T.C.A. §33-6-610 |
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ORDER FOLLOWING NON-COMPLIANCE HEARING UNDER T.C.A. §33-6-610 |
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ORDER DIRECTING TEMPORARY RECOMMITMENT OF PERSON WHO FAILED TO APPEAR BEFORE COURT UNDER T.C.A. §33-6-611 |
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NOTICE CONCERNING TEMPORARY RECOMMITMENT OF SERVICE RECIPIENT WHO FAILED TO APPEAR BEFORE COURT UNDER T.C.A. §33-6-611 |
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ORDER DIRECTING SERVICE RECIPIENT TAKEN INTO CUSTODY AND EVALUATED UNDER T.C.A. §33-6-612 |
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FINDINGS BY QUALIFIED MENTAL HEALTH PROFESSIONAL UNDER T.C.A. §§33-6-614 and 615 |
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NOTICE TO COMMITTING COURT AND HOSPITAL THAT MANDATORY OUTPATIENT TREATMENT OBLIGATION IS TERMINATED UNDER T.C.A. §33-6-620 |
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NOTICE THAT MANDATORY OUTPATIENT TREATMENT OBLIGATION IS RENEWED FOR SIX MONTHS UNDER T.C.A. §33-6-621 |
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PETITION FOR JUDICIAL REVIEW OF DECISION TO RENEW MANDATORY OUTPATIENT TREATMENT OBLIGATION UNDER T.C.A. §33-6-622 |
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ORDER FOLLOWING HEARING ON SERVICE RECIPIENT'S OBLIGATION TO PARTICIPATE IN MANDATORY OUTPATIENT TREATMENT UNDER T.C.A. §33-6-622 |
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ORDER UNDER T.C.A. §33-7-303(b) APPROVING A MANDATORY OUTPATIENT TREATMENT PLAN |
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NOTICE OF REVIEW OF MANDATORY OUTPATIENT TREATMENT UNDER T.C.A. §33-7-303(b) |
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SAMPLE LETTER FOR ANNUAL REVIEW OFMANDATORY OUTPATIENT TREATMENT UNDER T.C.A. § 33-7-303(g) |
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| 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 |