§ 6250.22. Notice.
Juveniles aged 13 and older shall be given the following notice:
RIGHTS OF CHILDREN UNDER
SECTIONS 402 AND 403 OF THE MENTAL HEALTH
AND MENTAL RETARDATION ACT OF 1966
You have currently been admitted to the
Institution for observation and treatment. This voluntary admission procedure was instituted by
(date). You can call the applicant at Telephone Number
or you can write the applicant at
. The purpose in having you admitted to this facility is to help you overcome problems you are experiencing and to return you to the community as soon as possible. Before we accepted you, you must realize that a (circle which one) psychiatric, medical, or psychological opinion was given to us by
. Also, the Director of this Institution had a (circle which one) psychiatric, medical, or psychological examination conducted so that he could be thoroughly apprised and certain that youcould benefit in receiving care and treatment at this Institution.
If you object to remaining in this Institution, youare advised that we shall contact the Public Defenders Office or make other suitable arrangements to obtain legal counsel for you. We will provide you with the telephone number of the attorney who has been contact on your behalf. We will require 2 working days from date of your objection to remain, in order to make certain that you will be afforded counsel. At the same time, the Director, or his delegate, of this Institution shall notify the applicant of his desire to require your hospitalization for your benefit.
A member of our staff shall explain this written letter to you and we ask you to sign it, which will evidence that you have a copy of this letter and that it has been explained to you in detail. In the event that you have any questions, you can direct them to the person who is explaining this document to you or you may contact this office.
Staff Member Signature
Giving Notice Resident
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