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Order Following Hearing On Objection To Return To Hospital Form. This is a Michigan form and can be use in Mental Health Statewide.
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Tags: Order Following Hearing On Objection To Return To Hospital, PCM 234, Michigan Statewide, Mental Health
Approved, SCAO
JIS CODE: ORD
FILE NO.
STATE OF MICHIGAN
PROBATE COURT
COUNTY
ORDER FOLLOWING HEARING ON
OBJECTION TO RETURN TO HOSPITAL
In the matter of
1. Date of hearing:
Judge:
Bar no.
2. An objection to return to the hospital was filed by
.
Name
3. Notice of hearing was given to or waived by all interested persons.
4. The individual
was present in court.
was not present for reasons stated on the record.
Present were:
5. Testimony by a physician or licensed psychologist was waived by the individual and the individual's attorney.
6.
Testimony was given by
.
Testimony was not given because the parties stipulated to entry of the order.
7. The individual has withdrawn the objection to hospitalization.
THE COURT FINDS:
8. There
is
is not
a preponderance of evidence that the individual requires hospitalization.
IT IS ORDERED:
9. The objection to hospitalization is withdrawn. The individual shall remain in the hospital.
10. The objection is dismissed. The individual shall remain in the hospital.
11. The individual is discharged from the hospital. The order dated
Date
shall continue.
Judge
Do not write below this line - For court use only
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PCM 234 (9/14)
ORDER FOLLOWING HEARING ON OBJECTION TO RETURN TO HOSPITAL
MCL 330.1475a, MCR 5.744