§43A-8-105.

§43A-8-105.
   
   The procedure for court certification to a private hospital or
   institution will be the same as that pertaining to court certification
   of patients to state mental hospitals in the Mental Health Law, except
   that before commitment to a private hospital or institution is made a
   written report will be submitted to the court containing the following
   information:
   
   (A) The name of the petitioner, relative, or guardian requesting
   commitment to a private hospital or institution, and the name of the
   private hospital or institution.
   
   (B) The name of the physician who will be the attending physician
   during the period of the patient's hospitalization in said private
   hospital or institution. The qualifications for the attending
   physician shall be the same as those set forth for a "qualified
   examiner" by the Mental Health Law.
   
   (C) A statement by the person in charge of said private hospital or
   institution, or someone designated by him, that the alleged mentally
   ill person will be admitted on presentation of a valid order for
   admission. This statement shall be dated no more than five (5) days
   prior to the date of the hearing.
   
   A form for the filing of the information required herein shall be
   prescribed by the Director of Mental Health, shall be printed on eight
   and one-half-inch by eleven-inch paper, and shall be substantially in
   the following form:
   
                        REQUEST FOR COMMITMENT TO A
                                      
                            PRIVATE HOSPITAL OR
                                      
                                INSTITUTION
                                      
   I, _____, bearing the relationship of _____ to ______, against whom a
   petition for commitment as a mentally ill person has been filed in the
   county court of ______ County, Oklahoma, do hereby request that, in
   the event said ______ is found to be mentally ill, she/he be committed
   as a patient to the ______ at ______, Oklahoma, a private hospital or
   institution as defined by law. I hereby agree to comply with the rules
   and regulations of said hospital or institution for the admission and
   support of said patient. I further certify that upon admission of said
   patient to said private hospital or institution, ______ will be the
   attending physician, until discharge or transfer of the patient, or
   until further notice to this court by me or the attending physician.
   
   Witness my hand this ______ day of _____________, 19__.
   
   ___________________
   
   Subscribed and sworn to before me this ______ day of ______, 19__.
   
   ___________________
   
   Notary Public
   
                           STATEMENT OF ATTENDING
                                      
                                 PHYSICIAN
                                      
   I, ______, do hereby certify that I will faithfully perform the duties
   and responsibilities prescribed by law as the attending physician of
   ______, upon his/her commitment to the ______ until his/her discharge
   or transfer, or until further notice to this court by me or the
   above-named petitioner, relative, or guardian.
   
   Witness my hand this ______ day of ___________, 19__.
   
   _____________________
   
   Attending Physician
   
                       STATEMENT OF PERSON IN CHARGE
                                      
                            OF PRIVATE HOSPITAL
                                      
                               OR INSTITUTION
                                      
   I, ______, the duly appointed ______ of the ______, a private hospital
   or institution containing beds for the reception, care and treatment
   of persons with neuropsychiatric illnesses, have discussed the rules
   and regulations of said hospital or institution governing admission
   and support of patients with ______, the ______ of ______, an alleged
   mentally ill person, and that if said person is committed to this
   hospital or institution on or before ______, 19__, he will be admitted
   as a patient.
   
   _________________