North Coast Emergency Medical Services

Serving Del Norte, Humboldt, and Lake Counties

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5150 Menu

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  • Section 1: Pertinent Sections of the Welfare & Institutions Code
  • Section 2: Summary of Laws that Cover the Transfer of Patients (5150, EMTALA, Health & Safety Code)
  • Section 3: FAQs about (5150) Holds
    • A. Tips for Completing the 5150 Application Form
    • B. Who Can Write a (5150) Hold
      • Who Can Write a (5150) Hold – Del Norte County
      • Who Can Write a (5150) Hold – Humboldt County
      • Who Can Write a (5150) Hold – Lake County
      • Who Can Write a (5150) Hold – Other CA Counties
    • C. Who Can Lift a (5150) Hold
      • Who Can Lift a (5150) Hold – Del Norte County
      • Who Can Lift a (5150) Hold – Humboldt County
      • Who Can Lift a (5150) Hold – Lake County
      • Who Can Lift a (5150) Hold – Other CA Counties
    • D. Transports From the Field
      • Law Enforcement
        • Peace Officer has the Authority to Transport Directly to LPS-designated Psychiatric Facilities
          • Peace Officer Transports – Eureka
          • Peace Officer Transports – Arcata
          • Peace Officer Transports – Fortuna
          • Peace Officer Transports – Hoopa
        • Peace Officer Cannot be Detained After Safe & Orderly Transfer of Custody
        • Officer Request for Ambulance
        • Minors
      • PreHospital
      • Behavioral Emergencies
        • Behavioral Emergencies – Law Enforcement
          • Behavioral Emergencies – Law Enforcement – Officer Placed Restraints
          • Behavioral Emergencies – Law Enforcement – Tarasoff Warning
          • Behavioral Emergencies – Law Enforcement – Weapons Confiscation & 5150 Holds
          • Behavioral Emergencies – Law Enforcement – Suicide By Cop
        • Behavioral Emergencies – Prehospital
          • Behavioral Emergencies – Prehospital – Combative Patient
          • Behavioral Emergencies – Prehospital – Restraints
      • Not Competent to Refuse
        • Adults
        • Minors
    • E. Transfers From Non-Designated Hospital Emergency Department
      • Medical Clearance
        • Medical Clearance – Del Norte County
        • Medical Clearance – Humboldt County
        • Medical Clearance – Lake County
        • Medical Clearance – Other CA Counties
      • Interfacility Transfer Policies
        • Interfacility Transfer Policies – Del Norte County
        • Interfacility Transfer Policies – Humboldt County
        • Interfacility Transfer Policies – Lake County
        • Interfacility Transfer Policies – Other CA Counties
        • 5150 Survey on California EMS transfers by Agency (July 2016)
      • Accompanying Documents
        • Accompanying Documents – Del Norte County
        • Accompanying Documents – Humboldt County
        • Accompanying Documents – Lake County
        • Accompanying Documents – Other CA Counties
      • Information Sharing
      • Personal Possessions
        • Personal Possessions – Del Norte County
        • Personal Possessions – Humboldt County
        • Personal Possessions – Lake County
    • F. Transfers from Designated Psychiatric Facilities
      • Transfers to Hospital Emergency Department
      • Transfers Across County/State Line
        • Transfers Across County/State Lines – Del Norte County
        • Transfers Across County/State Lines – Humboldt County
        • Transfers Across County/State Lines – Lake County
      • Transfers Back to County of Origin
        • Transfers Back to County of Origin – Del Norte County
        • Transfers Back to County of Origin – Humboldt County
        • Transfers Back to County of Origin – Lake County
    • G. When Does 72 Hour Clock Start & Due Process
      • When Does 72 Hour Clock Start? – Del Norte County
      • When Does 72 Hour Clock Start? – Humboldt County
      • When Does 72 Hour Clock Start? – Lake County
    • H. Training
      • Training – Del Norte County
      • Training – Humboldt County
      • Training – Lake County
      • Training – Other CA Counties
    • I. Compare Counties – Quick Guide
    • J. Disagreements Between Medical & Behavioral Health Staff
      • Disagreements Between Medical & Mental Health Staff – Del Norte County
      • Disagreements Between Medical & Mental Health Staff – Humboldt County
      • Disagreements Between Medical & Mental Health Staff – Lake County
    • K. When is Sempervirens Full?
    • L. Medical Clearance Checklist-Humboldt only
    • M. Mobile Response Team Humboldt
  • Appendix

H. Training

The County Behavioral Health Director may develop procedures for the county’s designation and training of professionals who will be designated to perform 5150 functions. (WIC 5121)

    • Training Slides for 1799.111 Use in the Emergency Dept.
    • Training slides for Due Process in Emergency Dept.
    • Training Slides for SB 43- Humboldt –changes to Gravely Disabled Jan 2026
                • Del Norte–changes to Gravely Disabled Jan 2026
                • Lake–changes to Gravely Disabled Jan 2026
  • For Emergency Room MD’s & other Designated professionals & Behavioral Health Staff ONLY

Del Norte County

  • Del Norte Writing a 5150 Certification with Quiz, includes SB 43 SUD 5150’s

Humboldt County

  • Humboldt Writing AND Rescinding Certification with quiz includes SB 43 SUD 5150’s Jan 2026

Lake County

  • Lake  Writing a 5150 Certification with Quiz, includes SB 43 SUD 5150’s

HELPFUL ALGORITHMS:

  • Behavioral Health person in the Emergency Department
  • Due Process Hearings in the Emergency Dept.
  • Brokering a Psych bed
  • Vaccinated Behavioral Health patient
  • History of Covid (+) Behavioral Health patient
  • Law Enforcement 5150 process
  • Covid testing at the Jail for Behavioral Health patient
  • Understanding the 72 hour clock with Covid algorithms & 5150 cert & Due Process
  • Coping Resources for Frontline Workers
  • SUD 5150 in Emergency Dept. of a non-designated facility
    • SUD 5150 Mini Screening Referral Tool

Lake County

  • LAKE: 5150 Response Collaborative Protocol MOU Training Videos (2019):
    • HOSPITALS

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