Affidavit/Request for Emergency Admission (Baker Act)
Hernando County Clerk of Court · Mental Health (Baker & Marchman Act)
Verified current as of October 27, 2026
Affidavit a person files in Hernando County requesting emergency admission of someone who appears to meet the Baker Act criteria for mental health treatment.
This form has fillable fields — you can complete it directly in the viewer on the right.