(a) If the results of the assessment conducted in accordance with § 597.021 indicate that a client who does not have a legal guardian or surrogate decision-maker lacks the capacity to make a treatment decision about major medical or dental treatment, psychoactive medication, or a highly restrictive procedure, the ICF-IID must file an application for a treatment decision with the department.
(b) An application must be in the form prescribed by the department, must be signed by the applicant, and must:
(1) state that the applicant has reason to believe and does believe that the client has a need for major medical or dental treatment, psychoactive medication, or a highly restrictive procedure;
(2) specify the condition proposed to be treated;
(3) provide a description of the proposed treatment, including the risks and benefits to the client of the proposed treatment;
(4) provide a description of generally accepted alternatives to the proposed treatment, including the risks and potential benefits to the client of the alternatives, and the reasons the alternatives were rejected;
(5) state the applicant’s opinion on whether the proposed treatment promotes the client’s best interest and the grounds for the opinion;
(6) state the client’s opinion about the proposed treatment, if known;
(7) provide any other information necessary to determine the client’s best interest regarding the treatment; and
(8) state that the client does not have a guardian of the person and does not have a parent, spouse, child, or other person with demonstrated interest in the care and welfare of the client who is able and willing to become the client’s guardian or surrogate decision-maker.