MSH Admissions Information

REQUIRED DOCUMENTS

Psychiatric Commitment:
Order of Commitment, Affidavit for Commitment, Physician's Certificate, Mental Health Four page Screening and Patient Information Form.

Chemical Dependency Unit:
For voluntary commitments, required documents are Completed Voluntary Admission form, Consent to Treat and Medication Consent form and Patient Information Form.

For involuntary commitments, required documents are Order of Commitment signed by judge and Patient Information Form.

For emergency involuntary commitments, required documents are Preliminary Order of Commitment, Affidavit for Commitment, Physician's Certificate (signed by two physicians) and Patient Information Form.

Oak Circle Center:
Psychiatric Commitment Documents, Immunization Records, Birth Certificate and Proof of Custody (if not legal guardian)

		ADMISSIONS INFORMATION MISSISSIPPI STATE HOSPITAL WHITFIELD CAMPUS A program of the Mississippi Department of Mental Health.
		REQUIRED DOCUMENTS Psychiatric Commitment: Order of Commitment, Affidavit for Commitment, Physician's Certificate, Mental Health Four page Screening and Patient Information Form. Chemical Dependency Unit: For voluntary commitments, required documents are Completed Voluntary Admission form, Consent to Treat and Medication Consent form and Patient Information Form. For involuntary commitments, required documents are Order of Commitment signed by judge and Patient Information Form. For emergency involuntary commitments, required documents are Preliminary Order of Commitment, Affidavit for Commitment, Physician's Certificate (signed by two physicians) and Patient Information Form. Oak Circle Center: Psychiatric Commitment Documents, Immunization Records, Birth Certificate and Proof of Custody (if not legal guardian)
		WHAT TO BRING: • 5 complete changes of clothing • glasses and/or hearing aids • family photos and mementos • spending money to deposit into a patient account DO NOT BRING: • expensive jewelry • weapons or sharp objects (e.g. pocket knife) • breakable glass items • no personal-care products containing alcohol TRANSPORTATION A person is committed to MSH for psychiatric care because mental health professionals and the Chancery Court believe that person, due to mental illness, is a danger to self or others. For the patient's safety, the county Sheriff's Department provides transportation to the hospital. People committed to the Chemical Dependency Unit are transported by their families, unless they seek assistance from the Chancery Court for transportation by the Sheriff's Department. NON-DISCRIMINATION NOTICE Mississippi State Hospital does not discriminate against any person on the basis of race, color, national origin, disability or age in admission, treatment or participation in its programs, services and activities or in employment.
		CONTACT INFORMATION Mississippi State Hospital Admissions Department P.O. Box 157-A Whitfield, MS 39193 601-351-8003 info@msh.state.ms.us Eligibility Information Regarding Medicaid, Medicare and Private Insurance 601-351-8234 Emergency Help: Mississippi Department of Mental Health Toll-free Help Line 877-210-8513 All Calls Are Confidential