W&I Code section 5150(g)(1): each person, at the time they are first taken into custody under this section, shall be provided, by the person who takes them into custody, the information orally.
Writing: if the person cannot understand an oral advisement, the information shall be provided in writing.
Detainment: the 72-hour period begins at the time when the person is first detained.
Juvenile court: indicate to the best of your knowledge whether the minor is under the jurisdiction of the juvenile court.
| Question | Answer |
|---|---|
| Form Name | DHCS 1801 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 76 |
| Avg. time to fill out | 13 min |
| Edition | Rev 03/2026 |
| Issuing agency | Department of Health Care Services |
| Other names | DHCS 1801, DHCS1801, Form DHCS 1801, 5150 application, Application for up to 72-Hour Assessment |
| Official source | DHCS 1801 (Rev 03/2026), Department of Health Care Services |
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