This government document is issued by Department of State Hospitals (DSH) for use in California
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https://www.google.com/url?client=internal-element-cse&cx=001779225245372747843:zqiqummuqzk&q=https://www.dsh.ca.gov/Law_Enforcement/docs/Policies_Procedures/Report_Preparation.pdf&sa=U&ved=2ahUKEwif_v70v5HyAhUtxosKHTYJAdw4FBAWMAl6BAgDEAE&usg=AOvVaw2oFALy6cJeLtQuTCcQ22Fx