Statute · California Welfare and Institutions Code

Cal. Welf. & Inst. Code § 5262 — Additional Intensive Treatment of Suicidal Persons

Cal. Welf. & Inst. Code § 5262

Type: Statute
Source: California Welfare and Institutions Code
Jurisdiction: California
Current through: Nov 2, 2026 (California Legislative Counsel)

A second notice of certification for imminently suicidal persons is required for all involuntary 14-day intensive treatment, pursuant to this article, and shall be in substantially the following form:

Citator

Cal. Welf. & Inst. Code § 5262 — Additional Intensive Treatment of Suicidal Persons is in force in the current edition of the Code, and nothing recorded condemns it.

To the Superior Court of the State of California
for the County of ______

The authorized agency providing 14-day intensive treatment, County of _________, has custody of: _________

Name ____________

Address ____________

Age ____________

Sex ____________

Marital status ____________

Religious affiliation ____________

The undersigned allege that the above-named person presents an imminent threat of taking his own life.
This allegation is based upon the following facts:

__________

This allegation is supported by the accompanying affidavits signed by ____________.

The above-named person has been informed of this allegation and has been advised of, but has not been able or willing to accept referral to, the following services:

__________

We, therefore, certify the above-named person to receive additional intensive treatment for no more than 14 days beginning this day of (Month), 19__, in the intensive treatment facility herein named ________.

We hereby state that a copy of this notice has been delivered this day to the above-named person and that he has been clearly advised of his continuing legal right to a judicial review by habeas corpus, and this term has been explained to him.

(Date)

Signed __________

Countersigned __________Representing intensive treatment facility__________