{"id":5899,"date":"2022-01-21T08:56:04","date_gmt":"2022-01-21T13:56:04","guid":{"rendered":"https:\/\/collierclerk.com\/?page_id=5899"},"modified":"2026-03-23T13:46:34","modified_gmt":"2026-03-23T17:46:34","slug":"forms","status":"publish","type":"page","link":"https:\/\/app.collierclerk.com\/collierclerkcom\/court-divisions\/mental-health\/forms\/","title":{"rendered":"Mental Health Forms"},"content":{"rendered":"<table class=\"muni-bellows-table\" style=\"width: 100%;\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"muni-bellows-table-column\" style=\"width: 20%; vertical-align: top;\">\n<nav id=\"bellows-main-66\" class=\"bellows bellows-nojs bellows-main bellows-source-menu bellows-align-full bellows-skin-grey-material bellows-type- bellows-expand-current\"><ul id=\"menu-mental-health\" class=\"bellows-nav\" data-bellows-config=\"main\"><li id=\"menu-item-5898\" class=\"bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-5898 bellows-item-level-0\"><a  href=\"https:\/\/app.collierclerk.com\/collierclerkcom\/court-divisions\/mental-health\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Baker Act<\/span><\/a><\/li>\n<li id=\"menu-item-5897\" class=\"bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-5897 bellows-item-level-0\"><a  href=\"https:\/\/app.collierclerk.com\/collierclerkcom\/court-divisions\/mental-health\/marchman-act\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Marchman Act<\/span><\/a><\/li>\n<li id=\"menu-item-5896\" class=\"bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-5896 bellows-item-level-0\"><a  href=\"https:\/\/app.collierclerk.com\/collierclerkcom\/court-divisions\/mental-health\/risk-protection-order\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Risk Protection Order<\/span><\/a><\/li>\n<li id=\"menu-item-5895\" class=\"bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-5895 bellows-item-level-0\"><a  href=\"https:\/\/app.collierclerk.com\/collierclerkcom\/court-divisions\/mental-health\/mental-health-fees\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Fees<\/span><\/a><\/li>\n<li id=\"menu-item-5913\" class=\"bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-5913 bellows-item-level-0\"><a  href=\"https:\/\/app.collierclerk.com\/collierclerkcom\/court-divisions\/mental-health\/forms\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Forms<\/span><\/a><\/li>\n<li id=\"menu-item-5919\" class=\"bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-5919 bellows-item-level-0\"><a  href=\"https:\/\/app.collierclerk.com\/collierclerkcom\/court-divisions\/mental-health\/mental-health-resources\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Resources<\/span><\/a><\/li>\n<li id=\"menu-item-5916\" class=\"bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-5916 bellows-item-level-0\"><a  href=\"https:\/\/app.collierclerk.com\/collierclerkcom\/court-divisions\/mental-health\/mental-health-videos\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Videos<\/span><\/a><\/li>\n<\/ul><\/nav>\n<p><strong data-uw-styling-context=\"true\">Collier County Clerk of the Circuit Court<br \/>\r\n<\/strong><strong data-uw-styling-context=\"true\">Courts Department<\/strong><br \/>\r\n3315 Tamiami Trail East, Ste. 102<br \/>\r\nNaples, Florida 34112-5324<br \/>\r\n<strong>Phone:<\/strong> (239) 252-2646<br \/>\r\n<span data-uw-styling-context=\"true\"><strong data-uw-styling-context=\"true\">Email: <\/strong><a class=\"muni-popup-admin-form2 pum-trigger\" title=\"form\" href=\"https:\/\/collierclerk.com\/contact-us\" data-uw-styling-context=\"true\">Mental Health<\/a><\/span><\/p>\r\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/td>\n<td style=\"width: 60%; text-align: left; vertical-align: top;\">\n<h1>Mental Health Forms<\/h1>\n<h2>Risk Protection Forms<\/h2>\n<table class=\"muni-table\">\n<tbody>\n<tr>\n<th style=\"width: 45%;\">Form<\/th>\n<th style=\"width: 45%;\">Information<\/th>\n<th style=\"width: 10%;\">Link<\/th>\n<\/tr>\n<tr>\n<td>Petition for Risk Protection Order<\/td>\n<td>This form should be used in situations when there is evidence that a person poses danger to him\/herself or others by possessing a firearm or ammunition.<\/td>\n<td style=\"width: 7%;\"><a class=\"\" title=\"Open Petition in a new window.\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/petition-for-risk-protection-order.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Affidavit in Support of Petition for Temporary Ex Parte Order<\/td>\n<td>This affidavit is to be completed in support of the Petition Seeking Ex Parte Order.<\/td>\n<td style=\"width: 7%;\"><a class=\"\" title=\"Open form in a new window.\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/temporary-ex-parte-risk-protection-order-and-notice-of-further-proceedings.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Request for Hearing to Vacate Final RPO<\/td>\n<td>This form is used to request the termination of a Risk Protection Order.<\/td>\n<td style=\"width: 7%;\"><a class=\"\" title=\"Open form in a new window.\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/request-for-hearing-to-vacate-final-risk-protection-order.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Petitioner\u2019s Motion to Extend Final RPO<\/td>\n<td>This form is used by Petitioners to request an extension of a Risk Protection Order.<\/td>\n<td style=\"width: 7%;\"><a class=\"\" title=\"Open form in a new window.\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/petitioners-motion-to-extend-final-risk-protection-order.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Designation of E-Mail Address Not Represented By an Attorney<\/td>\n<td>Pursuant to Fla. R. Gen. Prac. &amp; Jud. Admin. 2.516(b)(1)(D) prose or self-represented litigants are required to provide an email address in which they are a party.<\/td>\n<td style=\"width: 7%;\"><a title=\"Open form in a new window\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Designation-of-Email-Address-by-SRL.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Notice of Change of Address or E-Mail Address<\/td>\n<td>This form is required to keep the clerk\u2019s office and any opposing party or parties notified of current mailing address or e-mail address.<\/td>\n<td style=\"width: 7%;\"><a title=\"Open form in a new window\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Notice-of-Change-of-Address-or-Email-Address.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Request To Be Excused from E-Mail Service<\/td>\n<td>This form is to be used for requests to be excused pursuant to Fla. R. Gen. Prac. &amp; Jud. Admin. 2.516(b)(1)(D) from the requirements of e- mail service because you are not represented by an attorney, do not have an e-mail account, or do not have regular access to the internet.<\/td>\n<td style=\"width: 7%;\"><a title=\"Open form in a new window\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Request-to-be-Excused-from-Email-Service.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Marchman Act Forms<\/h2>\n<table class=\"muni-table\">\n<tbody>\n<tr>\n<th style=\"width: 45%;\">Form<\/th>\n<th style=\"width: 45%;\">Information<\/th>\n<th style=\"width: 10%;\">Link<\/th>\n<\/tr>\n<tr>\n<td>Petition and Affidavit for Involuntary Treatment Services Packet<\/td>\n<td>\n<p>This packet is used to request an involuntary substance abuse assessment\/treatment for a person.<\/p>\n<\/td>\n<td style=\"width: 7%;\"><a href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Marchman-Act-Packet.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Designation of E-Mail Address Not Represented By an Attorney<\/td>\n<td>Pursuant to Fla. R. Gen. Prac. &amp; Jud. Admin. 2.516(b)(1)(D) prose or self-represented litigants are required to provide an email address in which they are a party.<\/td>\n<td style=\"width: 7%;\"><a title=\"Open form in a new window\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Designation-of-Email-Address-by-SRL.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Notice of Change of Address or E-Mail Address<\/td>\n<td>This form is required to keep the clerk\u2019s office and any opposing party or parties notified of current mailing address or e-mail address.<\/td>\n<td style=\"width: 7%;\"><a title=\"Open form in a new window\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Notice-of-Change-of-Address-or-Email-Address.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Request To Be Excused from E-Mail Service<\/td>\n<td>This form is to be used for requests to be excused pursuant to Fla. R. Gen. Prac. &amp; Jud. Admin. 2.516(b)(1)(D) from the requirements of e- mail service because you are not represented by an attorney, do not have an e-mail account, or do not have regular access to the internet.<\/td>\n<td style=\"width: 7%;\"><a title=\"Open form in a new window\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Request-to-be-Excused-from-Email-Service.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Baker Act Forms<\/h2>\n<table class=\"muni-table\">\n<tbody>\n<tr>\n<th style=\"width: 45%;\">Form<\/th>\n<th style=\"width: 45%;\">Information<\/th>\n<th style=\"width: 10%;\">Link<\/th>\n<\/tr>\n<tr>\n<td>Ex Parte Order for Involuntary Examination<\/td>\n<td>This form is used by the court to authorize an involuntary mental health examination of an individual when there is sworn testimony indicating they may meet the criteria under Florida law (Section 394.463).<\/td>\n<td style=\"width: 7%;\"><a class=\"\" title=\"Open Form in a new window.\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Ex-Parte-Order-For-Involuntary-examination.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Petition and Affidavit Seeking Ex Parte Order Requiring Involuntary Examination<\/td>\n<td>This packet allows an individual to request a court order for an involuntary mental health examination of another person.<\/td>\n<td style=\"width: 7%;\"><a class=\"\" title=\"Open Petition Form in a new window.\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Baker-Act-Packet-Petition-and-Affidavit-Seeking-Ex-Parte-Order-Requiring-Involuntary-Examination.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Designation of E-Mail Address Not Represented By an Attorney<\/td>\n<td>Pursuant to Fla. R. Gen. Prac. &amp; Jud. Admin. 2.516(b)(1)(D) prose or self-represented litigants are required to provide an email address in which they are a party.<\/td>\n<td style=\"width: 7%;\"><a title=\"Open form in a new window\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Designation-of-Email-Address-by-SRL.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Notice of Change of Address or E-Mail Address<\/td>\n<td>This form is required to keep the clerk\u2019s office and any opposing party or parties notified of current mailing address or e-mail address.<\/td>\n<td style=\"width: 7%;\"><a title=\"Open form in a new window\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Notice-of-Change-of-Address-or-Email-Address.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<tr>\n<td>Request To Be Excused from E-Mail Service<\/td>\n<td>This form is to be used for requests to be excused pursuant to Fla. R. Gen. Prac. &amp; Jud. Admin. 2.516(b)(1)(D) from the requirements of e- mail service because you are not represented by an attorney, do not have an e-mail account, or do not have regular access to the internet.<\/td>\n<td style=\"width: 7%;\"><a title=\"Open form in a new window\" href=\"https:\/\/collierclerk.com\/wp-content\/uploads\/Request-to-be-Excused-from-Email-Service.pdf\" target=\"_blank\" rel=\"noopener\"> PDF<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div class=\"tab-pane active\" id=\"Resources\">Forms listed on this site are for reference only and are not warranted for, nor are they a guarantee of, suitability for any specific purpose. They are not intended to serve as legal advice and do not substitute for competent legal counsel or direct legal research. Simple access to forms cannot serve as an adequate substitute for legal counsel. As many of these forms are created by entities outside our control, some forms may be outdated. Many forms are controlled by the judiciary, legislature, or agencies at the level they are intended to be filed or above. Please refer to appropriate Florida Statutes, Florida Rules of Judicial Administration, Administrative Orders and Local Rules and Practices for specific information.<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Mental Health Forms Risk Protection Forms Form Information Link Petition for Risk Protection Order This form should be used &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Mental Health Forms\" class=\"read-more button\" href=\"https:\/\/app.collierclerk.com\/collierclerkcom\/court-divisions\/mental-health\/forms\/#more-5899\" aria-label=\"Read more about Mental Health Forms\">Read more<\/a><\/p>\n","protected":false},"author":19,"featured_media":0,"parent":5883,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5899","page","type-page","status-publish","infinite-scroll-item"],"_links":{"self":[{"href":"https:\/\/app.collierclerk.com\/collierclerkcom\/wp-json\/wp\/v2\/pages\/5899","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/app.collierclerk.com\/collierclerkcom\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/app.collierclerk.com\/collierclerkcom\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/app.collierclerk.com\/collierclerkcom\/wp-json\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/app.collierclerk.com\/collierclerkcom\/wp-json\/wp\/v2\/comments?post=5899"}],"version-history":[{"count":20,"href":"https:\/\/app.collierclerk.com\/collierclerkcom\/wp-json\/wp\/v2\/pages\/5899\/revisions"}],"predecessor-version":[{"id":20721,"href":"https:\/\/app.collierclerk.com\/collierclerkcom\/wp-json\/wp\/v2\/pages\/5899\/revisions\/20721"}],"up":[{"embeddable":true,"href":"https:\/\/app.collierclerk.com\/collierclerkcom\/wp-json\/wp\/v2\/pages\/5883"}],"wp:attachment":[{"href":"https:\/\/app.collierclerk.com\/collierclerkcom\/wp-json\/wp\/v2\/media?parent=5899"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}