Declaration for Mental Health Treatment

This form lets an adult write down instructions for mental health treatment to be used if a court decides the person cannot make their own treatment decisions. It covers wishes about medications, convulsive treatment, and emergency care.

The court describes it as: Use this form to create a psychiatric advance directive.

Common questions

What does this form create?

This form creates a declaration for mental health treatment that can be followed if a court determines you cannot make your own treatment decisions. This document covers medication, convulsive treatment, and emergency care preferences.

When does this plan take effect?

The instructions in this declaration will only be followed if a court believes you are unable to make treatment decisions. If you are not found to be incapacitated, you are considered able to give or withhold consent.

Who needs to sign this form?

This declaration is not valid unless it is signed by two qualified witnesses who know you personally and are present when you sign it.

Revision history

No changes recorded since we started tracking this form on October 9, 2026.

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