We handle a crisis patient the same way a doctor in your building would handle an crisis patient. We would call security in your building if needed. If the patient needs to be put on a 72 hour hold, we can arrange for our doctors to be certified to write holds at your facility, and between our IT departments we can arrange for an on-line electronic signature system to sign the hold paperwork. For agencies or entities that require a "wet" signature on the hold paperwork, our prescriber would make the decision to initiate the hold, and a local staff member at the facility (who is certified to write holds) would write the actual hold while our provider completes his/her note to accompany the hold paperwork. Your staff would arrange for transport to the appropriate emergency department or critical care unit for further evaluation.