WHEREAS, the rapidly developing field of electronic psychiatric assistive technology has yet to be recognized by insurance carriers as a legitimate avenue for medical expenses related to conditions such as schizophrenia, bipolar disorder, and their associated symptoms, signs, and consequences, and

 WHEREAS, the symptoms, signs and consequences of psychiatric illness can include loss of life, homelessness, and impairment in one or more major life functions such as thinking, communicating, reading, remembering, or organizing, and

 WHEREAS, (1)_____________________, a natural person residing the jurisdiction of (2)__________________________ experiences the following signs, symptoms, or consequences of a psychatric illness:

and

 WHEREAS, (3)____________________________, who is

( ) a physician licensed in the same jurisdiction, or

( ) the person named above,

has provided documentation of this illness and a reasonable argument that the following items of electronic psychiatric assisitive technology would be of use, along with sources of supply and pricing:

BE IT THEREFORE RESOLVED, that (4)________________________________ should issue a payment to

(5)___________________________________ in the amount of (6)___________ for the purpose of purchasing these items of assistive technology, excluding the following items, which will be provided at no charge from (7)___________________, under order from this body:

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