Kansas Probate Form 2102

Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness)

Everything you need to know about Kansas Form 2102, including helpful tips, fast facts & deadlines, how to fill it out, where to submit it and other related KS probate forms.

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About Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness)

There are all sorts of forms executors, beneficiaries, and probate court clerks have to fill out and correspond with during probate and estate settlement, including affidavits, letters, petitions, summons, orders, and notices.

Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness) is a commonly used form within Kansas. Here’s an overview of what the form is and means, including a breakdown of the situations when (or why) you may need to use it:

This form is to be attached to a Petition to Determine a Person to be a Mentally Ill Person Subject to Involuntary Commitment. It is one not normally prepared by counsel. Following the practices established under mental health reform, this certificate, in this pre-printed format, will be provided by the local community mental health center following a preliminary evaluation conducted by staff from that center.

View Form 2102

KS Form 2102, which may also referred to as Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness), is a probate form in Kansas. It is used by executors, personal representatives, trustees, guardians & other related parties during the probate & estate settlement process.

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Atticus Fast Facts About Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness)

Sometimes it’s tough to find a quick summary— here’s the important details you should know about Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness):

  • This form pertains to the State of Kansas

  • The relevant probate statute or Kansas laws related to this form include: K.S.A. 59-2946, K.S.A. 59-2949, K.S.A. 59-2953, K.S.A. 59-2954, K.S.A. 59-2957, K.S.A. 59-2958, K.S.A. 59-2959, K.S.A. 59-2961, K.S.A. 59- 2964, K.S.A. 59-2966, K.S.A. 59-2967

  • The official Kansas source for this form is here.

Government forms are not typically updated often, though when they are, it often happens rather quietly. While Atticus works hard to keep this information about ’s Form 2102 - Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness) up to date, certain details can change from time-to-time with little or no communication.

How to file Form 2102

Step 1 - Download the correct Kansas form based on the name and ID if applicable

Double check that you have both the correct form name and the correct form ID. Some Kansas probate forms can look remarkably similar, so it’s best to double, even triple-check that you’re using the right one! Keep in mind that not all States have a standardized Form ID system for their probate forms.

Step 2 - Complete the Document

Fill out all relevant fields in Form 2102, take a break, and then review. Probate and estate settlement processes in KS are long enough to begin with, and making a silly error can push your timeline even farther back. No thank you!

Note: If you don’t currently know all of the answers and are accessing Form 2102 online, be sure to avoid closing the browser tab and potentially losing all your progress (or use a platform like Atticus to help avoid making mistakes).

Step 3 - Have Form 2102 witnessed or notarized (if required)

Some States and situations require particular forms to be notarized. If you have been instructed to get the document notarized or see it in writing on the document, then make sure to hire a local notary. There are max notary fees in the United States that are defined and set by local law. Take a look at our full guide to notary fees to make sure you aren’t overpaying or getting ripped off.

Step 4 - Submit Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness) to the relevant office

This is most often the local probate court where the decedent (person who passed away) is domiciled (permanently resides) or the institution involved with this particular form (e.g. a bank). Some offices allow you to submit forms online, other’s don’t, and we while we generally recommend going in-person to expedite the process, sometimes that simply isn’t an option.

It’s also a generally good idea to establish a positive working relationship with any probate clerk (unfortunately there’s enough people & process out there making things more difficult and unnecessarily confusing for them), so a best practice is to simply ask the probate clerk proactively exactly how and where they’d prefer you to submit all forms.

Need help getting in touch with a local probate court or identifying a domicile probate jurisdiction?

👉 Find and Contact your Local Probate Court

👉 What is a Domicile Jurisdiction?

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When Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness) is due

Different probate forms or processes can require different deadlines or response times for completing the appropriate form.

While some steps in the process are bound to specific deadlines (like petitioning for probate, having to submit an inventory of assets, or filing applicable notices to creditors and beneficiaries), many probate forms or processes are not tied to a specific deadline since the scope of work can vary based on situational factors or requirements involved.

Either way, there are a bunch of practical reasons why personal representatives should work to complete each step as thoroughly and quickly as possible when completing probate in Kansas.

5 reasons you should submit 2102 as quickly as possible:

  1. The sooner you begin, the faster Kansas can allow heirs and beneficiaries to get their share of assets subject to probate. Acting promptly can also decrease the costs & overall mental fatigue through an otherwise burdensome process.

    Helpful Context: What’s the Difference Between Probate and Non-Probate Assets?

  2. In general, creditors of an estate usually have around 3-6 months from the time you file notice to creditors to file any claims for debt against the deceased’s assets. If they don’t, then that debt is forfeited (and more importantly, the executor won’t be held personally responsible). So doing this sooner means you have a better idea of who is owed what and ensures you won’t get a surprise collector months later.

  3. Not filing a will within 30 days (on average) could mean that the probate process proceeds according to intestate laws (laws that govern what happens to someone's stuff without a will) or is subject to unnecessary supervision by the probate court. And if you aren't directly related to the deceased (a.k.a. next of kin), this could also mean you lose your inheritance.

  4. It’s important to file any necessary state tax returns on behalf of the deceased or estate by the following tax season in Kansas. If you don’t, you could owe penalties and interest. This also includes any necessary federal tax returns such as Forms 1040, 1041, or even a Form 706 estate tax return.

  5. If a house in the State of Kansas is left empty (or abandoned) for a while, insurance can get dicey. For example, if the house burns down and no one has been there for a year, an insurance company may get out of paying your claim.

If you’re not using Atticus to get specific forms, deadlines, and timelines for Kansas probate, then try and stay as organized as possible, pay close attention to the dates mentioned in any correspondence you have with the State’s government officials, call the local Kansas probate clerk or court for exact answers regarding Form 2102, and when in doubt— consult a qualified trust & estates lawyer for that area.

How to Download, Open, and Edit Form 2102 Online

Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness) is one of the many probate court forms available for download through Atticus.

It may also be available through some Kansas probate court sites, such as . In order to access the latest version, be updated with any revisions, and get full instructions on how to complete each form, check out the Atticus Probate & Estate Settlement software or consider hiring a qualified legal expert locally within Kansas.

While Atticus automatically provides the latest forms, be sure to choose the correct version of Form 2102 - Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness) f using any other site or resource in order to avoid having to re-complete the form process and/or make another trip to the Kansas probate court office.

Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness) is a .pdf, so opening it should be as simple as clicking “View Form” from within the Atticus app or by clicking the appropriate link found on any Kansas-provided government platform. Once you’ve opened the form, you should be able to directly edit the form before saving or printing.

View Form 2102

KS Form 2102, which may also referred to as Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness), is a probate form in Kansas. It is used by executors, personal representatives, trustees, guardians & other related parties during the probate & estate settlement process.

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Did you know?

  • Form 2102 - Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness) is a probate form in Kansas.

  • This form is to be attached to a Petition to Determine a Person to be a Mentally Ill Person Subject to Involuntary Commitment. It is one not normally prepared by counsel. Following the practices established under mental health reform, this certificate, in this pre-printed format, will be provided by the local community mental health center following a preliminary evaluation conducted by staff from that center.

  • Kansas has multiple types of probate and the necessary forms depend on the unique aspects of each estate, such as type and value of assets, whether there was a valid will, who is serving as the personal representative or executor, and even whether or not they also live in Kansas.

  • During probate, all personal representatives and executives in are required to submit a detailed inventory of assets that must separate non-probate assets from probate assets.

  • Probate in Kansas, especially without guidance, can take years to finish and cost upwards of $14,000.

Frequently Asked Questions about Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness)

This form is to be attached to a Petition to Determine a Person to be a Mentally Ill Person Subject to Involuntary Commitment. It is one not normally prepared by counsel. Following the practices established under mental health reform, this certificate, in this pre-printed format, will be provided by the local community mental health center following a preliminary evaluation conducted by staff from that center.

Probate is the government’s way of making sure that when a person dies, the right stuff goes to the right people (including the taxes the government wants).

All of that stuff is collectively known as someone’s “estate”, and it’s the job of the executor or personal representative to fill out all the forms and complete all the required steps to formally dissolve the estate. 

To get instant clarity on the entire probate process and get an idea of the steps, timeline, and best practices, read the Atticus Beginner’s Guide to Probate

The best place? Create an account in Atticus to start getting estate-specific advice. 

You may need a lawyer, you may not, and paying for one when you didn’t need it really hurts. Atticus makes sure you make  the best decisions (plus you can write it off as an executor expense).

We’ve also created a list of other probate services. Be sure to check it out!

An executor is named in someone’s will, and if the deceased didn’t have a will, then the spouse or other close family relative usually steps up to fulfill the role. If no one wants to do it, then a judge will appoint someone. 

The executor is responsible for the complete management of the probate process, including major responsibilities such as:

  • Creating an inventory of all probate assets.

  • Filling out all necessary forms

  • Paying off all estate debts and taxes

  • Submitting reports to the court and beneficiaries as requested

And much more. This process often stretches longer than a year. 

For an idea of what separates executors who succeed from those who make this way harder than it should be, visit our article, Executors of an Estate:
What they do & secrets to succeeding
.

The Exact Text on Form 2102

Here’s the text, verbatim, that is found on Kansas Form 2102 - Certificate Of A Physician, Psychologist, Or A Designated Qualified Mental Health Professional (Mental Illness). You can use this to get an idea of the context of the form and what type of information is needed.

2100-8 Kansas Probate Forms 3d 2102 CERTIFICATE OF A PHYSICIAN, PSYCHOLOGIST, OR A DESIGNATED QUALIFIED MENTAL HEALTH PROFESSIONAL (to be attached to a Petition to Determine a Person to be a Mentally Ill Person Subject to Involuntary Commitment) RE: (name of patient) (patient’s address) (city, state, zip) I certify that: I am a  licensed physician;  licensed psychologist;  qualified mental health professional designated by the head of a mental health center to make this certificate;  I, on (date), personally examined the above named patient and reviewed any available records, and on that basis:  It is my professional opinion that the patient is likely to be a mentally ill person subject to involuntary commitment for care and treatment as that term is defined in K.S.A. 59-2946(f), including that this patient: (check all appropriate criteria) ( ) is suffering from a mental disorder to the extent the person is in need of treatment; ( ) lacks the capacity to make an informed decision concerning treatment, despite conscientious efforts at explanation or efforts to elicit a response from the patient showing an ability to engage in a rational decision-making process; ( ) is likely to cause harm to self or others or substantial damage to property of another; ( ) is not solely diagnosed with one of the following mental disorders: alcohol or chemical substance abuse; anti-social personality disorder; intellectual disability; organic personality syndrome; or an organic mental disorder. NOTE: all four of the above described conditions must be applicable to this person in order for the patient to meet 2012 2011 2100-9 Kansas Probate Forms 3d the legal definition of a mentally ill person subject to involuntary commitment.  (OPTIONAL) For this reason, I recommend that the patient be detained and admitted to an appropriate inpatient treatment facility for further observation and treatment pending court proceedings. X (date) (signature of physician, psychologist, QMHP) (bus. tel. no.) (name of facility, mental health center or clinic associated with) (business address) (city, state, zip)  mental health center screening assessment form attached  other patient medical records or statement(s) attached  copy to  copy to CMHC Reference K.S.A. 59-2946, 59-2949, 59-2953, 59-2954, 59-2957, 59-2958, 59-2959, 59-2961, 59- 2964, 59-2966, and 59-2967. Comment This form is one not normally prepared by counsel. Following the practices established under mental health reform, this certificate, in this pre-printed format, will be provided by the local community mental health center following a preliminary evaluation conducted by staff from that center. Generally speaking, in each community procedures have been established where if a person is thought to be in need of mental health services, that individual may be brought, either by law enforcement agents or by any other person, to the mental health center (usually during regular office hours) or to a designated community hospital emergency room (usually during non-office hours) where that individual will be screened by a specifically trained qualified mental health professional (QMHP) employed by the mental health center. That professional will always have “back-up” in some fashion by either a physician (a psychiatrist) or a licensed psychologist. At the conclusion of this screening, the QMHP will determine whether further services seem warranted or the person should be released. If further services seem warranted, the QMHP may refer the patient to, or arrange for, those further services to be provided by one or more local providers, including either being provided by staff at the mental health center or at a local clinic or hospital. The QMHP may arrange for 2010 2100-10 Kansas Probate Forms 3d the person to be admitted to a state psychiatric hospital. These services may be arranged to be provided, whether locally or at a state hospital, with the voluntary consent of the patient or the QMHP may advise that further involuntary legal action needs to be pursued. In any case where further involuntary services are advised, the QMHP will provide to the officer or person seeking assistance for that patient a completed “Certificate of a Physician, Psychologist, or a Designated Qualified Mental Health Professional.” The form records who made the assessment determination and that the professional has considered all the applicable legal elements necessary to proceed involuntarily. This form will need to be attached to the petition filed with the district court (see Form 2121). If emergency inpatient admission is sought pending the filing of a petition in district court , then a copy of this form will also have to be attached to the Application for Emergency Admission (Form 2111 or 2112) made at the treatment facility to which the patient is taken. In situations where a person is screened other than through the local mental health center’s mental health reform process, this form may be used as a model by any physician or licensed psychologist to provide the certificate necessary to be attached to the court petition or the Application for Emergency Admission. At the bottom of the form are some check boxes to indicate whether a copy of the mental health center screening assessment form (Form 2103) which the QMHP is required to use in making the assessment and determinations is attached to the certificate. Other medical records or supporting documentation may be attached and noted, but this is not required by law. The “Certificate” alone is statutorily sufficient; however, a wealth of information is compiled in the screening form and the information may be useful to the court or treating professionals. Furthermore, the inclusion of such information may be encouraged by the court, county or district attorney or other interested parties. Information contained in the screening form may be confidential. It is protected by the provisions of K.S.A. 59-2979 from further disclosure even though filed with the court as an attachment to the petition. The remaining “copy to” boxes may be used to record transmission of a copy of the “Certificate” to a specified treatment provider, hospital or involved mental health center.

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