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§43A-5-306.
§43A-5-306.
The application described in Section 5-305 of this title shall be
accompanied by a certificate in duplicate signed by a licensed doctor
of medicine or osteopathic physician who is duly licensed to practice
his profession by the Oklahoma State Board of Medical Licensure and
Supervision or the Oklahoma Board of Osteopathic Examiners and who is
not related by blood or marriage to the person being examined or has
any interest in his estate. This certificate may be substantially in
the following form:
CERTIFICATE OF PHYSICIAN
I do hereby certify that on the ____ day of ____, 19__, I examined
____ and I am of the opinion that said person is mentally ill, and for
his/her own welfare ought to be admitted to ____ Hospital at ____,
Oklahoma, as a patient therein.
I further certify that I have explained to said person that if he/she
is admitted to a state hospital for the mentally ill as a voluntary
patient, the medical staff may find it necessary or desirable to give
a course of treatment requiring an extended period of time, and that
it is not the legislative policy of the state to authorize the
expenditure of public funds for the commencement of an expensive
treatment unless the patient desires to continue that treatment for
the length of time that the attending physicians believe is likely to
give adequate benefit to the patient; and I have also explained that
it may become necessary to give treatment which may temporarily weaken
the patient's system so that it would be injurious to his/her health
to release him/her immediately upon his/her request; and that
therefore the superintendent of the hospital has authority under the
law to detain the patient in the hospital for as long as sixty days
after said patient gives written notice to the superintendent of
his/her desire to leave the hospital.
I further certify that in my opinion said person has sufficient mental
capacity to and does understand and comprehend the matters set out in
the preceding paragraph.
I do further certify that I am a licensed doctor of medicine duly
licensed as such by the Oklahoma State Board of Medical Licensure and
Supervision (or that I am an osteopathic physician duly licensed as
such by the Oklahoma Board of Osteopathic Examiners) and that I am not
related by blood or marriage to the person being examined and that I
have no interest in his/her estate.
________________________________
(Signature of doctor of medicine
or osteopathic physician)
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