New York Consolidated Laws

N.Y. Mental Hygiene Law § 9.27 (2026)

Involuntary admission on medical certification

✓ current as of May 2026
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§ 9.27 Involuntary admission on medical certification.
  (a) The director of a hospital may receive and retain therein as a
patient any person alleged to be mentally ill and in need of involuntary
care and treatment upon the certificates of two examining physicians, or
upon the certificates of an examining physician and a psychiatric nurse
practitioner. Such certificates shall be accompanied by an application
for the admission of such person. The examination may be conducted
jointly but each certifying practitioner shall execute a separate
certificate.
  (b) Such application must have been executed within ten days prior to
such admission. It may be executed by any one of the following:
  1. any person with whom the person alleged to be mentally ill resides.
  2. the father or mother, husband or wife, brother or sister, or the
child of any such person or the nearest available relative.
  3. the committee of such person.
  4. an officer of any public or well recognized charitable institution
or agency or home, including but not limited to the superintendent of a
correctional facility, as such term is defined in paragraph (a) of
subdivision four of section two of the correction law, in whose
institution the person alleged to be mentally ill resides and the
designee authorized by the commissioner of the department of corrections
and community supervision responsible for community supervision in the
region where such person alleged to be mentally ill has been released to
any form of supervision following incarceration.
  5. the director of community services or social services official, as
defined in the social services law, of the city or county in which any
such person may be.
  6. the director of the hospital or of a general hospital, as defined
in article twenty-eight of the public health law, in which the patient
is hospitalized.
  7. the director or person in charge of a facility providing care to
alcoholics, or substance abusers or substance dependent persons.
  8. the director of the division for youth, acting in accordance with
the provisions of section five hundred nine of the executive law.
  9. subject to the terms of any court order or any instrument executed
pursuant to section three hundred eighty-four-a of the social services
law, a social services official or authorized agency which has, pursuant
to the social services law, care and custody or guardianship and custody
of a child over the age of sixteen.
  10. subject to the terms of any court order a person or entity having
custody of a child pursuant to an order issued pursuant to section seven
hundred fifty-six or one thousand fifty-five of the family court act.
  11. a qualified psychiatrist who is either supervising the treatment
of or treating such person for a mental illness in a facility licensed
or operated by the office of mental health.
  (c) Such application shall contain a statement of the facts upon which
the allegation of mental illness and need for care and treatment are
based and shall be executed under penalty of perjury but shall not
require the signature of a notary public thereon.
  (d) Before an examining physician or psychiatric nurse practitioner
completes the certificate of examination of a person for involuntary
care and treatment, they shall consider alternative forms of care and
treatment that might be adequate to provide for the person's needs
without requiring involuntary hospitalization. If the examining
physician or psychiatric nurse practitioner knows that the person they
are examining for involuntary care and treatment has been under prior
treatment, they shall, insofar as possible, consult with the physician
or psychologist furnishing such prior treatment prior to completing
their certificate. Nothing in this section shall prohibit or invalidate
any involuntary admission made in accordance with the provisions of this
chapter.
  (e) The director of the hospital where such person is brought shall
cause such person to be examined forthwith by a physician who shall be a
member of the psychiatric staff of such hospital other than the original
examining physicians or psychiatric nurse practitioner whose certificate
or certificates accompanied the application and, if such person is found
to be in need of involuntary care and treatment, they may be admitted
thereto as a patient as herein provided.
  (f) Following admission to a hospital, no patient may be sent to
another hospital by any form of involuntary admission unless the mental
hygiene legal service has been given notice thereof.
  (g) Applications for involuntary admission of patients to residential
treatment facilities for children and youth or transfer of involuntarily
admitted patients to such facilities may be reviewed by the office or
commissioner's designee serving such facility in accordance with section
9.51 of this article and in consultation with the residential treatment
facility receiving an involuntary admission or transfer of an
involuntarily admitted patient.
  (h) If a person is examined and determined to be mentally ill, the
fact that such person suffers from alcohol or substance abuse shall not
preclude commitment under this section.
  (i) After an application for the admission of a person has been
completed and both certifying practitioners have examined such person
and separately certified that such person is mentally ill and in need of
involuntary care and treatment in a hospital, either certifying
practitioner is authorized to request peace officers, when acting
pursuant to their special duties, or police officers, who are members of
an authorized police department or force or of a sheriff's department,
to take into custody and transport such person to a hospital for
determination by the director whether such person qualifies for
admission pursuant to this section. Upon the request of either
certifying practitioner, an ambulance service, as defined by subdivision
two of section three thousand one of the public health law, is
authorized to transport such person to a hospital for determination by
the director whether such person qualifies for admission pursuant to
this section.
Notes of Decisions
Cited in 102 cases (12 in the last 5 years), 1985–2025 · leading case: State Ex Rel. Harkavy v. Consilvio, 859 N.E.2d 508 (NY 2006).
State Ex Rel. Harkavy v. Consilvio, 859 N.E.2d 508 (NY 2006). · cites it 16× “The prison superintendents completed applications for involuntary commitment on medical certification, pursuant to Mental Hygiene Law § 9.27. As petitioners' prison terms expired, they were each transported under guard to the Manhattan Psychiatric Center (MPC), where each was…”
Rueda v. Charmaine D., 958 N.E.2d 106 (NY 2011). · cites it 11× “We hold that an emergency room psychiatrist was “supervising the treatment of or treating” a patient within the meaning of Mental Hygiene Law § 9.27 (b) (11), and so had standing to seek an involuntary commitment of the patient pursuant to section 9.”
In re Pilgrim Psychiatric Ctr., 197 A.D.2d 204 (N.Y. App. Div. 1994). · cites it 13× “The central issue presented on appeal is whether a psychiatric hospital may convert a voluntary patient to the status of an involuntary patient pursuant to Mental Hygiene Law § 9.27 based upon the certificates of two examining physicians, but without obtaining confirmation of…”
People Ex Rel. Joseph II v. Superintendent of Southport Corr. Facility, 931 N.E.2d 76 (NY 2010). · cites it 4× “Mental Hygiene Law article 10 had not then been enacted, but Joseph was involuntarily committed to a hospital under article 9 of the Mental Hygiene Law (Mental Hygiene Law § 9.27), and Humberto committed himself voluntarily, also under article 9 (Mental Hygiene Law § 9.”
State of New York v. Rashid, 942 N.E.2d 225 (NY 2010). · cites it 4× “At that point, the involuntary commitment provisions in article 9 of the Mental Hygiene Law might come into play in an appropriate case ( see Mental Hygiene Law § 9.27 [a]). III In Buss , the defendant pleaded guilty in 1983 to one count of first-degree sexual abuse and one…”
Rivers v. Katz, 495 N.E.2d 337 (NY 1986). · cites it 2× “Mark Rivers was involuntarily committed pursuant to Mental Hygiene Law § 9.27 on or about March 20, 1984 and was retained by court order entered on June 13, 1984.”
In re Stefano, 140 Misc. 2d 801 (N.Y. Sup. Ct. 1988). · cites it 13× “The above-named patient was involuntarily admitted to the psychiatric department of Strong Memorial Hospital on June 11, 1988, based upon a two-physician certification pursuant to *802 Mental Hygiene Law § 9.27. On June 30, 1988, the patient requested a hearing, pursuant to…”
State ex rel. Harkavy v. Consilvio, 29 A.D.3d 221 (N.Y. App. Div. 2006). · cites it 5× “Each was a felony sex offender about to be released from prison when two OMH physicians certified his need for commitment pursuant to Mental Hygiene Law § 9.27 based upon their examinations and their findings that in each case, petitioner suffered from a mental illness and…”
Hoffman v. Cnty. of Delaware, 41 F. Supp. 2d 195 (N.D.N.Y. 1999). · cites it 4× “Moon also applied to have Hoffman involuntarily admitted to a hospital pursuant to N.Y. Mental Hyg.Law § 9.27 4 , although Hoffman was ultimately admitted pursuant to N.”
State v. Floyd Y., 2 N.E.3d 204 (NY 2013). “In December 2005, prior to his release from prison, the Department of Correctional Services (DOCS) invoked Mental Hygiene Law § 9.27 and transferred Floyd Y.”
Savastano v. Nurnberg, 152 A.D.2d 290 (N.Y. App. Div. 1989). · cites it 5× “This requires, in pertinent part, a new medical determination made by two examining physicians (Mental Hygiene Law § 9.27 [a]), confirmed by a third physician who is a member of the psychiatric staff of the hospital (Mental Hygiene Law § 9.”
State ex rel. Harkavy v. Consilvio, 10 Misc. 3d 851 (N.Y. Sup. Ct. 2005). · cites it 5× “Aiter the transfer, the person must be examined forthwith by a member of the psychiatric staff of the hospital who must concur in the opinion of the two examining physicians that hospitalization is required.”
— N.Y. Mental Hygiene Law § 9.27(a) — 1 case
Goetz v. Crosson, 728 F. Supp. 995 (S.D.N.Y. 1990).
— N.Y. Mental Hygiene Law § 9.27(i) — 1 case
Glass v. Mayas, 794 F. Supp. 470 (E.D.N.Y 1992).
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