en-USIn the matter of en-USFirst, middle, and last name 1. þ A petition for mental health treatment was filed on en-USDateen-US . 2. þ The individual has failed to make himself or herself available for an evaluation/examination. 3. þ I am þ petitioner þ caseworker þ psychiatrist/psychologist/physician þ en-US interested person þ en-US other en-US 4. þ The following reasonable attempts were made to obtain the individual222s cooperation: þ en-US þ en-US þ en-US þ en-US en-USDate þ en-USSignature þ en-USAgency þ en-USAddress þ en-USCity, state, zip þ en-USTelephone no. American LegalNet, Inc. www.FormsWorkFlow.com