Approved, SCAO STATE OF MICHIGAN CASE NO. ORDER FOLLOWING HEARING ON JUDICIAL CIRCUIT COURT COUNTY PETITION FOR TREATMENT OF INFECTIOUS DISEASE 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. commitment of the individual. 4. A commitment review panel has filed its recommendation for an alternative to commitment of the individual. 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 , an infectious agent 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 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) Do not write below this line - For court use only MCL 333.5205(6), (8); MSA 14.15(5205)(6), (8), MCR 5.782PC 106 (6/98) ORDER FOLLOWING HEARING ON PETITION FOR TREATMENT OF INFECTIOUS DISEASE >>>> 2 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