Transcription of FORM 1013 – CERTIFICATE AUTHORIZING …
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FORM 1013 – CERTIFICATE AUTHORIZING …
Georgia Department of Behavioral Health & Developmental Disabilities (DBHDD) Identification form 1013 CERTIFICATE AUTHORIZING transport TO emergency RECEIVING FACILITY & REPORT of TRANSPORTATION (Mental Health) _____ form 1013 CERTIFICATE AUTHORIZING transport to emergency Receiving Facility & Report of Transportation Mental Health DBHDD By Authority of 37-3-41, 37-3-42 & 37-3 -101 - form Last Revised ; Effective Page 1 of 2 STATE OF GEORGIA, COUNTY OF_____ DATE _____ This is to certify that I have personally examined _____ on _____, 20____ at _____m, which was within the preceding 48 hours of the signing of this CERTIFICATE .
Georgia Department of Behavioral Health & Developmental Disabilities (DBHDD) Identification FORM 1013 – CERTIFICATE AUTHORIZING TRANSPORT TO EMERGENCY RECEIVING FACILITY &
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