N.Y. Mental Hygiene Law Section 9.27
Involuntary admission on medical certification

* (a) The director of a hospital may receive and retain therein as a patient any person alleged to be mentally ill and in need of involuntary care and treatment upon the certificates of two examining physicians, accompanied by an application for the admission of such person. The examination may be conducted jointly but each examining physician shall execute a separate certificate. * NB Effective until August 7, 2025 * (a) The director of a hospital may receive and retain therein as a patient any person alleged to be mentally ill and in need of involuntary care and treatment upon the certificates of two examining physicians, or upon the certificates of an examining physician and a psychiatric nurse practitioner. Such certificates shall be accompanied by an application for the admission of such person. The examination may be conducted jointly but each certifying practitioner shall execute a separate certificate. * NB Effective August 7, 2025 (b) Such application must have been executed within ten days prior to such admission. It may be executed by any one of the following:

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any person with whom the person alleged to be mentally ill resides.

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the father or mother, husband or wife, brother or sister, or the child of any such person or the nearest available relative.

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the committee of such person.

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an officer of any public or well recognized charitable institution or agency or home, including but not limited to the superintendent of a correctional facility, as such term is defined in paragraph (a) of subdivision four of Correction Law § 2 (Definitions)section two of the correction law, in whose institution the person alleged to be mentally ill resides and the designee authorized by the commissioner of the department of corrections and community supervision responsible for community supervision in the region where such person alleged to be mentally ill has been released to any form of supervision following incarceration.

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the director of community services or social services official, as defined in the social services law, of the city or county in which any such person may be.

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the director of the hospital or of a general hospital, as defined in article twenty-eight of the public health law, in which the patient is hospitalized.

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the director or person in charge of a facility providing care to alcoholics, or substance abusers or substance dependent persons.

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the director of the division for youth, acting in accordance with the provisions of Executive Law § 509 (Transfers to state hospitals and schools in the department of mental hygiene)section five hundred nine of the executive law.

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subject to the terms of any court order or any instrument executed pursuant to Social Services Law § 384-A (Transfer of care and custody of children)section three hundred eighty-four-a of the social services law, a social services official or authorized agency which has, pursuant to the social services law, care and custody or guardianship and custody of a child over the age of sixteen.

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subject to the terms of any court order a person or entity having custody of a child pursuant to an order issued pursuant to section seven hundred fifty-six or one thousand fifty-five of the family court act.

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a qualified psychiatrist who is either supervising the treatment of or treating such person for a mental illness in a facility licensed or operated by the office of mental health.

(c)

Such application shall contain a statement of the facts upon which the allegation of mental illness and need for care and treatment are based and shall be executed under penalty of perjury but shall not require the signature of a notary public thereon. * (d) Before an examining physician completes the certificate of examination of a person for involuntary care and treatment, he shall consider alternative forms of care and treatment that might be adequate to provide for the person’s needs without requiring involuntary hospitalization. If the examining physician knows that the person he is examining for involuntary care and treatment has been under prior treatment, he shall, insofar as possible, consult with the physician or psychologist furnishing such prior treatment prior to completing his certificate. Nothing in this section shall prohibit or invalidate any involuntary admission made in accordance with the provisions of this chapter. * NB Effective until August 7, 2025 * (d) Before an examining physician or psychiatric nurse practitioner completes the certificate of examination of a person for involuntary care and treatment, they shall consider alternative forms of care and treatment that might be adequate to provide for the person’s needs without requiring involuntary hospitalization. If the examining physician or psychiatric nurse practitioner knows that the person they are examining for involuntary care and treatment has been under prior treatment, they shall, insofar as possible, consult with the physician or psychologist furnishing such prior treatment prior to completing their certificate. Nothing in this section shall prohibit or invalidate any involuntary admission made in accordance with the provisions of this chapter. * NB Effective August 7, 2025 * (e) The director of the hospital where such person is brought shall cause such person to be examined forthwith by a physician who shall be a member of the psychiatric staff of such hospital other than the original examining physicians whose certificate or certificates accompanied the application and, if such person is found to be in need of involuntary care and treatment, he may be admitted thereto as a patient as herein provided. * NB Effective until August 7, 2025 * (e) The director of the hospital where such person is brought shall cause such person to be examined forthwith by a physician who shall be a member of the psychiatric staff of such hospital other than the original examining physicians or psychiatric nurse practitioner whose certificate or certificates accompanied the application and, if such person is found to be in need of involuntary care and treatment, they may be admitted thereto as a patient as herein provided. * NB Effective August 7, 2025 (f) Following admission to a hospital, no patient may be sent to another hospital by any form of involuntary admission unless the mental hygiene legal service has been given notice thereof.

(g)

Applications for involuntary admission of patients to residential treatment facilities for children and youth or transfer of involuntarily admitted patients to such facilities may be reviewed by the office or commissioner’s designee serving such facility in accordance with section 9.51 of this article and in consultation with the residential treatment facility receiving an involuntary admission or transfer of an involuntarily admitted patient.

(h)

If a person is examined and determined to be mentally ill, the fact that such person suffers from alcohol or substance abuse shall not preclude commitment under this section. * (i) After an application for the admission of a person has been completed and both physicians have examined such person and separately certified that he or she is mentally ill and in need of involuntary care and treatment in a hospital, either physician is authorized to request peace officers, when acting pursuant to their special duties, or police officers, who are members of an authorized police department or force or of a sheriff’s department, to take into custody and transport such person to a hospital for determination by the director whether such person qualifies for admission pursuant to this section. Upon the request of either physician an ambulance service, as defined by subdivision two of Public Health Law § 3001 (Definitions)section three thousand one of the public health law, is authorized to transport such person to a hospital for determination by the director whether such person qualifies for admission pursuant to this section. * NB Effective until August 7, 2025 * (i) After an application for the admission of a person has been completed and both certifying practitioners have examined such person and separately certified that such person is mentally ill and in need of involuntary care and treatment in a hospital, either certifying practitioner is authorized to request peace officers, when acting pursuant to their special duties, or police officers, who are members of an authorized police department or force or of a sheriff’s department, to take into custody and transport such person to a hospital for determination by the director whether such person qualifies for admission pursuant to this section. Upon the request of either certifying practitioner, an ambulance service, as defined by subdivision two of Public Health Law § 3001 (Definitions)section three thousand one of the public health law, is authorized to transport such person to a hospital for determination by the director whether such person qualifies for admission pursuant to this section. * NB Effective August 7, 2025

Source: Section 9.27 — Involuntary admission on medical certification, https://www.nysenate.gov/legislation/laws/MHY/9.27 (updated May 16, 2025; accessed Jun. 21, 2025).

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N.Y. Mental Hygiene Law Section 9.27 Involuntary admission on medical certification

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N.Y. Mental Hygiene Law Section 9.27
Involuntary admission on medical certification