Order Authorizing Admission Of Ward To Mental Health Retardation Facility Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Order Authorizing Admission Of Ward To Mental Health Retardation Facility Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Order Authorizing Admission Of Ward To Mental Health Retardation Facility, 357-A, Missouri Local Circuit Courts, 7th Circuit (Clay County)
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
:
Index No.
Calendar No.
:
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
JUDICIAL SUBPOENA
Plaintiff(s)
PROBATE :DIVISION
-against:
No.
:
Defendant(s)
:
. . . . . . . . . Matter. of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
...... ..
, an incapacitated person.
ORDER AUTHORIZING ADMISSION OF WARD TO
THE PEOPLE OF THE STATE OF NEW YORKHEALTH/RETARDATION FACILITY
MENTAL
Sec. 475.121 RSMo.)
TO
On this _____ day of _____________________, 20_____, the Court takes up the
GREETINGS:
application of the Guardian herein for the admission of the above named Ward to a mental
health/retardation facility business and Section 475.021 RSMo.
WE COMMAND YOU, that allpursuant to excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
WHEREFORE, the Court upon consideration of the application, the physicians
in room statementthe theday of evidence, presented hereby authorized the Guardian to recessed
, on and
20
, at
o'clock in the
noon, and at any admit
other
or adjourned date, to testify and give evidence as a witness in this action on the part of the
to
,
*a failure to comply with this subpoena is punishable as a contempt of court and will in Section
Your mental health facility, or any other “Mental Health Facility” as defined make you liable to
632.005 (4) RSMo.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
*a mental retardation facility, or any other Mental Retardation Facility” as defined in
Section 633.005
Witness, Honorable (4) RSMo.
, one of the Justices of the
Court in
County,
day of
, 20
(Attorney must sign above and type name below)
JUDGE
Attorney(s) for
*strike if inapplicable
Office and P.O. Address
Form 357-A
Revised 3/14/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Page 1 of Mobile Tel. No.:
1
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