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Mandatory Forms
Mandatory Baker Act Forms
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CF - MH 3052a July 2023: Report of Law Enforcement Officer Initiating Involuntary Examination
CF - MH 3052b July 2023: Certificate of Professional Initiating Involuntary Examination
CF - MH 3084 Feb. 2005: Baker Act Service Eligibility
CF - MH 3098 June 2023: Application for Voluntary Admission - State Treatment Facility
CF - MH 3100 July 2023: Transportation to Receiving Facility
CF - MH 3118 July 2023: Baker Act Data Collection Form
CF - MH 3125 July 2023: Application for Designation as a Receiving Facility
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Additional Baker Act Forms
Additional Baker Act Forms
Additional Baker Act Forms
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Access Confidentiality and Nondisclosure Agreement (opens in a new tab)
CF MH 3001 JULY 2023 Ex Parte Order for Involuntary Examination (opens in a new tab)
CF MH 3002 JULY 2023 Petition and Affidavit Seeking Ex Parte Order Requiring Involuntary Examination (opens in a new tab)
CF MH 3008 Feb. 2005 Order for Involuntary Inpatient Placement (opens in a new tab)
CF MH 3021 Feb. 2005 Notice of Petition for Involuntary Placement (opens in a new tab)
CF MH 3022 Feb. 2005 Application for Appointment of Independent Expert Examiner (opens in a new tab)
CF MH 3024 Feb. 2005 Notice of Petition for Continued Involuntary Inpatient Placement (opens in a new tab)
CF MH 3031 Feb. 2005 Order for Continued Involuntary Inpatient Placement or for Release (opens in a new tab)
CF MH 3032 June 2023 Petition for Involuntary Inpatient Placement (opens in a new tab)
CF MH 3033 Feb. 2005 Notification to Court of Withdrawal of Petition for Hearing on Involuntary Inpatient or Involuntary Outpatient Placement (opens in a new tab)
CF MH 3035 Feb. 2005 Petition Requesting Authorization for Continued Involuntary Inpatient Placement (opens in a new tab)
CF MH 3036 Feb. 2005 Notice of Right to Petition for Writ of Habeas Corpus or for Redress of Grievances (opens in a new tab)
CF MH 3038 JULY 2023 Notice of Release or Discharge (opens in a new tab)
CF MH 3040 JUNE 2023 Application for Voluntary Admission - Adults (opens in a new tab)
CF MH 3042a Aug. 2025 General Authorization for Treatment Except Psychotropic Medications (opens in a new tab)
CF MH 3042b Aug. 2025 Specific Authorization for Psychotropic Medications (opens in a new tab)
CF MH 3043 Feb. 2005 Inventory of Personal Effects (opens in a new tab)
CF MH 3044 Aug. 2025 Authorization for Release of Information (opens in a new tab)
CF MH 3045 JULY 2023 Notice of Individual's Admission for Involuntary Examination (opens in a new tab)
CF MH 3046 Feb. 2005 Application for and Notice of Transfer to Another Facility (opens in a new tab)
CF MH 3048 Dec. 2024 Confidentiality Agreement (opens in a new tab)
CF MH 3049 Dec. 2024 Restriction of Communication or Visitors (opens in a new tab)
CF MH 3051a Aug. 2025 Notice of Right of Person on Voluntary Status to Request Discharge from a Receiving Facility (opens in a new tab)
CF MH 3051b Aug. 2025 Notice of Right of Person on Voluntary Status to Request Discharge from a Treatment Facility (opens in a new tab)
CF MH 3052a Report of Law Enforcement Officer Initiating Involuntary Examination
CF MH 3052b Certificate of Professional Initiating Involuntary Examination
CF MH 3057 Aug. 2025 Authorization for Electroconvulsive Treatment (opens in a new tab)
CF MH 3089 Feb. 2005: Transfer Evaluation (To a State Mental Health Treatment Facility) (opens in a new tab)
CF MH 3090 Feb. 2005 Petition for Writ of Habeas Corpus or for Redress of Grievances (opens in a new tab)
CF MH 3097 Aug. 2025 Application for Voluntary Admission - Minors (opens in a new tab)
CF MH 3098 Aug 2025 Application for Voluntary Admission - State Treatment Facility (opens in a new tab)
CF MH 3099 Aug. 2025 Certification of Ability to Provide Express and Informed Consent for Voluntary Admission and Treatment of Selected Persons from Facilities Licensed Under Chapter 400, F.S. (opens in a new tab)
CF MH 3100 Transportation to Receiving Facility
CF MH 3101 JULY 2023 Hospital Determination that Individual Does Not Meet Involuntary Placement Criteria (opens in a new tab)
CF MH 3102 JULY 2023 Request for Involuntary Examination After Stabilization of Emergency Medical Condition (opens in a new tab)
CF MH 3103 July 2014 Rights of Persons in Mental Health Facilities and Programs (opens in a new tab)
CF MH 3104 Aug. 2025 Certification of Individual's Competence to Provide Express and Informed Consent (opens in a new tab)
CF MH 3105 Aug. 2025 Refusal or Revocation of Consent to Treatment (opens in a new tab)
CF MH 3106 Aug. 2025 Petition for Adjudication of Incompetence to Consent to Treatment and Appointment of a Guardian Advocate (opens in a new tab)
CF MH 3107 Aug. 2025 Order Appointing Guardian Advocate (opens in a new tab)
CF MH 3108 Aug. 2025 Petition Requesting Court Approval for Guardian Advocate to Consent to Extraordinary Treatment (opens in a new tab)
CF MH 3109 Aug. 2025 Order Authorizing Guardian Advocate to Consent to Extraordinary Treatment (opens in a new tab)
CF MH 3110 Aug. 2025 Restriction of Person's Access to Own Record (opens in a new tab)
CF MH 3111 Aug. 2025 Approval for Release of Person on Involuntary Status from a Receiving Facility (opens in a new tab)
CF MH 3113 Feb. 2005 Notice to Court Request for Continuance of Involuntary Placement Hearing (opens in a new tab)
CF MH 3114 Feb. 2005 Order Requiring Involuntary Assessment and Stabilization for Substance Abuse and for Baker Act Discharge of Person (opens in a new tab)
CF MH 3115 Feb. 2005 Order Requiring Evaluation for Involuntary Outpatient Placement (opens in a new tab)
CF MH 3116 Feb. 2005 Findings and Recommended Order Restoring Person's Competence to Consent to Treatment and Discharging the Guardian Advocate (opens in a new tab)
CF MH 3118 JULY 2023 Baker Act Data Collection Form (opens in a new tab)
CF MH 3119 Jul. 2020 Notification of a Facility's Non Compliance (Pursuant to Chapter 400, F.S.) (opens in a new tab)
CF MH 3120 Aug. 2025 Certification of Guardian Advocate Training Completion (opens in a new tab)
CF MH 3121 Aug. 2025 Notification to Court of Person's Competence to Consent to Treatment and Discharge of Guardian Advocate (opens in a new tab)
CF MH 3122 Feb. 2005 Certification of Person's Incompetence to Consent to Treatment and Notification of Health Care Surrogate Proxy (opens in a new tab)
CF MH 3123 Feb. 2005 Affidavit of Health Care Proxy (opens in a new tab)
CF MH 3124 Feb. 2005 Personal Safety Plan (opens in a new tab)
CF MH 3130 Feb. 2005 Petition for Involuntary Outpatient Placement (opens in a new tab)
CF MH 3140 Sept. 2006 Designation of Service Provider for Involuntary Outpatient Placement (opens in a new tab)
CF MH 3145 Sept. 2006 Proposed Individualized Treatment Plan for Involuntary Outpatient Placement and Continued Involuntary Outpatient Placement (opens in a new tab)
CF MH 3150 Feb. 2005 Notice to DCF of non filing of Petition of Involuntary Outpatient Placement or Diminished Treatment Plan (opens in a new tab)
CF MH 3155 Feb. 2005 Order for Involuntary Outpatient Placement or Continued Involuntary Outpatient Placement (opens in a new tab)
CF MH 3160 Feb. 2005 Notice to Court of Modification to Treatment Plan for Involuntary Outpatient Commitment and/or Request for Approval of Material Modifications to Plan (opens in a new tab)
CF MH 3170 Feb. 2005 Petition for Termination of Involuntary Outpatient Placement Order (opens in a new tab)
CF MH 3180 Feb. 2005 Petition Requesting Authorization for Continued Involuntary Outpatient Placement (opens in a new tab)
CF MH 3185 Feb. 2005 Notice to Court of Waiver of Continued Involuntary Outpatient Placement Hearing and Request for an Order (opens in a new tab)
CF MH 4002 Report of Law Enforcement Officer Initiating Protective Custody
CF MH 4057 JULY 2023 Report of Law Enforcement Officer Initiating Protective Custody (opens in a new tab)
CF MH 7000 Jan. 1998 State Mental Health Facility Admission Form (opens in a new tab)
CF MH 7001 JULY 2023 State Mental Health Facility Discharge Form (opens in a new tab)
CF MH 7002 JULY 2023 Physician to Physician Transfer (opens in a new tab)
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Baker Act Forms (Spanish)
Additional Baker Act Forms (Spanish)
Please Select a Spanish Form...
CF MH 3001 Jul. 2020 Ex Parte Order for Involuntary Examination Spanish
CF MH 3002 Jul. 2020 Petition and Affidavit Seeking Ex Parte Order Requiring Involuntary Examination Spanish
CF MH 3022 Feb. 2005 Application for Appointment of Independent Expert Examiner Spanish
CF MH 3036 Feb. 2005 Notice of Right to Petition for Writ of Habeas Corpus or for Redress of Grievances Spanish
CF MH 3040 Feb. 2005 Application for Voluntary Admission (Receiving Facility) Spanish
CF MH 3042a Feb. 2005 General Authorization for Treatment Except Psychotropic Medications Spanish
CF MH 3042b Feb. 2005 Specific Authorization for Psychotropic Medications Spanish
CF MH 3043 Feb. 2005 Inventory of Personal Effects Spanish
CF MH 3044 Feb. 2005 Authorization for Release of Information Spanish
CF MH 3046 Feb. 2005 Application for and Notice of Transfer to Another Facility Spanish
CF MH 3048 Feb. 2005 Confidentiality Agreement Spanish
CF MH 3049 Feb. 2005 Restriction of Communication or Visitors Spanish
CF MH 3051a Feb. 2005 Notice of Right of Person on Voluntary Status to Request Discharge from a Receiving Facility Spanish
CF MH 3051b Feb. 2005 Notice of Right of Person on Voluntary Status to Request Discharge from a Treatment Facility Spanish
CF MH 3057 Feb. 2005 Authorization for Electroconvulsive Treatment Spanish
CF MH 3090 Feb. 2005 Petition for Writ of Habeas Corpus or for Redress of Grievances Spanish
CF MH 3097 Feb. 2005 Application for Voluntary Admission Minors Spanish
CF MH 3098 Feb. 2005 Application for Voluntary Admission (State Treatment Facility) Spanish
CF MH 3105 Feb. 2005 Refusal or Revocation of Consent to Treatment Spanish
CF MH 3110 Feb. 2005 Restriction of Person's Access to Own Record Spanish
CF MH 3121 Feb. 2005 Notification to Court of Person's Competence to Consent to Treatment and Discharge of Guardian Advocate Spanish
CF MH 3122 Feb. 2005 Certification of Person's Incompetence to Consent to Treatment and Notification of Health Care Surrogate Proxy Spanish
CF MH 3123 Feb. 2005 Affidavit of Health Care Proxy Spanish
CF MH 3124 Feb. 2005 Personal Safety Plan Spanish
CF MH 3145 Sept. 2006 Proposed Individualized Treatment Plan for Involuntary Outpatient Placement and Continued Involuntary Outpatient Placement Spanish
CF MH 3160 Feb. 2005 Notice to Court of Modification to Treatment Plan for Involuntary Outpatient Commitment and/or Request for Approval of Material Modifications to Plan Spanish
CF MH 3170 Feb. 2005 Petition for Termination of Involuntary Outpatient Placement Order Spanish
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Baker Act Forms (Creole)
Baker Act Forms (Creole)
Please Select a Creole Form...
Application for and Notice of Transfer (Creole)
Application for Appointment of Independent Exper. (Creole)
Application for Voluntary Admission (Creole)
Application for Voluntary Admissions Minors (Creole)
Application for Voluntary Admissions State Treatment (Creole)
Authorization for Electroconvulsive Treatment (Creole)
Authorization for Release of Information (Creole)
Certification of Guardian Advocate Training Comp. (Creole)
De-escalation Preference Form (Creole)
Florida Baker Overview (Creole)
General Authorization for Treatment Except Psych. (Creole)
Inventory of Personal Effects (Creole)
Notice of Right to Petition (Creole)
Notice of Voluntary Patients Right to request B (Creole)
Notice of Voluntary Patients Right to request A (Creole)
Notification to Healthcare Surrogate (Creole)
Refusal or Revocation of Consent to Treatment (Creole)
Restrictions of Communications or Visitors (Creole)
Rights of Patients (Creole)
Specific Authorization for Psychotropic Medication (Creole)
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