Summary of Mental Health History for a Family Member
(Important Medical History Summary under WIC 5008.2 (AB 1424)

If your family member is having a mental health crisis, or has been hospitalized, or is in jail,
you have the legal right to submit to the attending physicians or persons in charge,
the historical background of their illness.


Click links below to view and to download the
MEDICAL HISTORY FORM and LEGAL DOCUMENT

Mental Health History FORM - AB 1424