Approved, SCAO STATE OF MICHIGAN ORDER FOLLOWING APPEAL OF CASE NO. JUDICIAL CIRCUIT COURT COMMITMENT FOR TREATMENT OF COUNTY INFECTIOUS DISEASE In the matter of 1. Date of Hearing: Judge: Bar no.2. The above named individual has filed a claim of appeal as to the order d ated committing him/her to Name of facility THE COURT FINDS: 3. The commitment review panel reconvened by order of the court and has fil ed a report with the court recommending that the commitment of the individual be continued terminated. IT IS ORDERED: 4. The appeal is denied and commitment is continued as previously ordered. 5. The individual is discharged from the facility. Date Judge Do not write below this line - For court use only MCL 333.5205(8), (11); MSA 14.15(5205(8), (11), MCR 5.782PC 114 (6/98) ORDER FOLLOWING APPEAL OF COMMITMENT FOR TREATMENT OF INFECTIOUS DISEASE