Section R9-21-503. Voluntary Admission for Evaluation

A.       An application for voluntary evaluation pursuant to A.R.S. § 36-522 shall be submitted on Department form MH-103, Titled “Application for Voluntary Evaluation,” set forth in Exhibit D to a mental health agency.

B.       If a regional authority receives an application according to subsection (A), the regional authority shall provide for such evaluation under A.R.S. § 36-522 for any individual who:

1.        Voluntarily makes application as provided in subsection (A);

2.        Gives informed consent; and

3.        Has not been adjudicated as an incapacitated person pur- suant to A.R.S. Title 14, Chapter 5, or Title 36, Chapter 5.

C.       Any mental health agency, which is not a regional authority under R9-21-501, that receives an application for voluntary evaluation shall immediately refer the individual to:

1.        The county responsible for voluntary evaluations; or

2.        If the county has contracted with a regional authority for voluntary evaluations, the appropriate regional authority.

D.       Any mental health agency providing voluntary evaluation ser- vices pursuant to this Article shall place in the medical record of the individual to be evaluated the following:

1.        A completed copy of the application for voluntary treat- ment;

2.        A completed informed consent form pursuant to R9-21- 511; and

3.        A written statement of the individual’s present mental condition.

E.       Voluntary evaluation shall proceed only after the individual to be evaluated has given informed consent on Department form MH-103 and received information that the patient-physician privilege does not apply and that the evaluation may result in a petition for the individual to undergo court-ordered treatment or for guardianship in the method prescribed by A.R.S. § 36- 522.

Historical Note

Adopted under an exemption from A.R.S. Title 41, Chap- ter 6 pursuant to Laws 1992, Ch. 301, § 61, effective October 7, 1992; received in the Office of the Secretary of State October 14, 1992 (Supp. 92-4). Former Section R9-21-503 renumbered to R9-21-502; new Section R9- 21-503 renumbered from R9-21-504 and amended by exempt rulemaking at 9 A.A.R. 3296, effective June 30,

2003 (Supp. 03-2).