Approved, SCAO STATE OF MICHIGAN ORDER FOLLOWING HEARING ON CASE NO. JUDICIAL CIRCUIT COURT PETITION TO CONTINUE COUNTY TEMPORARY DETENTION In the matter of 1. Date of Hearing: Judge: Bar no. 2. A petition and affidavit have been filed by a local health officer Community Health Department representative asserting that an emergency exists. The court issued an ex parte order for immediate temporary detention of the individual. THE COURT FINDS: 3. Notice of hearing was given to the individual. 4. The individual is temporarily detained at . Name of facility 5. There is is not a preponderance of evidence that the individual would pose a threat to others if not temporarily detained in a facility. IT IS ORDERED: 6. The individual shall continue to be temporarily detained at Name of facility where presently found or other appropriate emergency care or treatment facility. a. A petition for treatment of infectious disease of the individual has been filed with this court and the facility shall continue temporary detention of the individual until the further order of the court. b. Unless a petition for treatment of infectious disease of the individual is filed with the court, the facility shall discharge the individual five days from the date of this order. 7. The individual is discharged from the facility. Date Judge Do not write below this line - For court use only MCL 333.5207(5); MSA 14.15(5207(5), MCR 5.782PC 112 (6/98) ORDER FOLLOWING HEARING ON PETITION TO CONTINUE TEMPORARY DETENTION