CON Writer (6401)
©2023
Ben Smith, MD, FACEP
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About
This tool generates a TN Certificate of Need for involuntary psychiatric commitment.
This is an in-browser PDF generator, no PHI is stored or transmitted.
No patient-specific information typed in here is sent to the web.
Destination, Transport method, and County will be logged.
Provider Phone, County, Transport Method, and Destination will be stored in your browser for the next time you visit this page.
This use of this tool does not constitiute any form of medical advice.
Patient Name
Officer Name
1) Has a mental illness or serious emotional disturbance...
Has a history of depression, now with suicidal ideation and a plan.
Has a history of bipolar disorder, now presents with acute mania.
Has a history of schizophrenia, now has symptoms of acute psychosis.
Unknown history of mental illness, now presenting with active symptoms of psychiatric disorder.
2) Poses a high likelihood of harm...
Has attempted suicide.
Has serious thoughts of suicide with a clear plan.
Has threatened homicide and serious injury to others.
Disorganized thoughts put the patient and others at substantial risk of harm.
Active symptoms of psychiatric disorder.
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