Approved, SCAO
STATE OF MICHIGAN JUDICIAL CIRCUIT COURT COUNTY
ORDER FOLLOWING HEARING ON PETITION FOR TREATMENT OF INFECTIOUS DISEASE
CASE NO.
In the matter of 1. Date of Hearing: Judge:
Bar no.
2. A petition has been filed asserting that the above named individual is a carrier and health threat to others. 3. Notice of hearing has been given according to law. 4. A commitment review panel has filed its recommendation for THE COURT FINDS: 5. The allegations of the petition have not been proven by clear and convincing evidence. 6. By clear and convincing evidence that a. the individual is a carrier of or serious communicable disease or infection, and the individual is a health threat to others. b. the individual has failed or refused to comply with the warning notice. c. the individual was not given a written warning notice because an emergency existed. IT IS ORDERED: 7. The individual shall a. participate in education counseling treatment programs at
Name of agency or facility
commitment of the individual. an alternative to commitment of the individual.
, an infectious agent
b. present him/herself within 24 hours at
Name of agency or facility
and undergo tests to verify his/her status as a carrier or for diagnosis purposes. c. appear within 24 hours at
Name of agency or facility
for verification of status, testing, or other purposes consistent with monitoring.
(PLEASE SEE OTHER SIDE)
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MCL 333.5205(6), (8); MSA 14.15(5205)(6), (8), MCR 5.782 PC 106 (6/98)
ORDER FOLLOWING HEARING ON PETITION FOR TREATMENT OF INFECTIOUS DISEASE
d. immediately and until further order of the court, cease and desist conduct that constitutes a health threat to others, including but not limited to
e. live part-time or full-time in a supervised setting at
f. be committed to
Name of facility
for not more than 6 months under the following conditions:
g. other:
8. The petition is dismissed and the individual shall be released from any facility where s/he is being temporarily detained by court order.
Date
Judge