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JIS CODE: OJA

STATE OF MICHIGAN PROBATE COURT COUNTY
CIRCUIT COURT - FAMILY DIVISION

FILE NO. ORDER FOLLOWING HEARING ON PETITION FOR JUDICIAL ADMISSION

In the matter of 1. Date of hearing: 2. A petition has been filed by
Petitioner name (type or print)

Judge:
Bar no.

asserting that the individual

named above meets the criteria for judicial admission and that the court should order the individual to be admitted to a center. 3. The court finds that notice of hearing has been given according to law. The parties were present. 4. The hearing was with without a jury.

5. The court received and considered the report on the petition for judicial admission. 6. Testimony was given by THE COURT FINDS: 7. The individual is an adult, has mental retardation, and can be reasonably expected within the near future to intentionally or unintentionally seriously physically injure self or others, and has overtly acted in a manner substantially supportive of that expectation. 8. There is is not an available program of care and treatment other than admission to a center adequate to meet the individual's care and treatment needs and that is sufficient to prevent harm or injury which the individual may inflict upon self or others. 9. center can provide the individual with the care and treatment adequate and appropriate for his/her condition in the least restrictive environment located nearest to his/her residence. .

10. The individual or a relative requested that the individual be admitted to ,a private licensed hospital that complies with the duties and requirements for centers, and has agreed to pay the costs with private funds. 11. The individual does not meet the criteria for judicial admission. IT IS ORDERED: 12. The petition is granted. denied on the merits. dismissed/withdrawn. If previously admitted to a center, the individual shall be discharged. 13. The individual be admitted to a. a center designated by the Department of Community Health and recommended by the community mental health services program. b.
Name of licensed hospital

, which has accepted the individual. (PLEASE SEE OTHER SIDE)
Do not write below this line - For court use only

PCM 214a (9/07)

ORDER FOLLOWING HEARING ON PETITION FOR JUDICIAL ADMISSION

MCL 330.1515, MCL 330.1518, MCL 330.1519, MCL 330.1520, MCL 330.1525

14. The individual undergo alternative care and treatment for a period not to exceed one year. Alternative treatment shall be under the supervision of as follows:

If previously admitted to a center, the individual shall be discharged. 15. If felony charges have been previously dismissed pursuant to MCL 330.2044(1)(b) and the time for petitioning to refile charges has not elapsed, a. not less than 30 days before the resident's scheduled release or discharge, the director of the treating facility shall notify the prosecutor's office in the county in which charges against the resident were originally brought that the resident's release or discharge is pending. b. not less than 30 days before the resident's scheduled release or discharge, the resident shall undergo a competency examination as described in MCL 330.2026. A copy of the written report of the examination along with the notice required in item 15a above shall be submitted to the prosecutor's office in the county in which the charges against the resident were originally brought. The written report is admissible as provided in MCL 300.2030(3).

Date

Judge