Maine DHHS - Questionnaire - Hospital and State Hospital


Status: Incomplete
   

Hospital and State Hospital


1. Was this an involuntary admission?

(Please select one.)


2. Did this later convert to a voluntary admission?

(Please select one.)


3. Prior to the inpatient admission, did member interact with crisis services?

(Please select one.)


4. Was member brought to the hospital by police?

(Please select one.)



Disclaimers (please check to confirm acceptance):