en-USIn the matter of en-US 1. � This court has received your objection to hospitalization/admission without a hearing and will conduct a hearing to decide � whether you need to be in a hospital or facility. If this court agrees, you will be allowed to leave. 2. � A hearing on your objection will be held at: � en-USLocation � en-USDate Time � before Judge en-USBar no. 3. � You are entitled to be represented by an attorney. The court has appointed: � en-USAttorney name Bar no. � en-USAddress � en-USCity, state, zip Telephone no. � If you desire to employ an attorney of your own choice, you may do so. If you prefer an attorney other than the one appointed � for you, and the preferred attorney agrees to accept the employment and notifies the court of his/her appearance on your � behalf, the court will replace the attorney now appointed for you. If you feel you are unable to pay for an attorney, and the � court agrees, the court will see that your attorney is paid from public funds at the court approved rate. 4. � You have the right to be present at the hearing. If you fail to attend the hearing after having an opportunity to meet with your � attorney, you will be considered to have waived your right to attend and the hearing may be held without you. 5. � For administrative admission only en-US(applies to individuals with developmental disability)en-US: You may also ask for an independent medical � or psychological evaluation. If you feel you are unable to pay for this, and the court agrees, the court will see that the � evaluation is paid for from public funds. You should discuss the need for an independent medical or psychological evaluation � with your attorney. 6. � You should discuss your rights with your attorney. en-USDate � en-USDeputy probate register/clerk American LegalNet, Inc. www.FormsWorkFlow.com