Department of Corrections and Rehabilitation - Operations Manual

Chapter 6 – Adult Classification

Article 12 – Treatment Categories

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62080.15.2 Department Form 128‑C3 Documentation

  • A medical officer’s report on a CDCRCalifornia Department of Corrections and Rehabilitation Form 128-C3 shall be attached defining, in lay language, the medical/psychiatric problem or reason for the evaluation; the relative seriousness of the case; the period of time within which the transfer should be effected; the type of transportation necessary; whether an attendant is required; if any medication or care is necessary while en route; and a statement that acceptance by the receiving CME/Chief Psychiatrist has been obtained.