File No. STATE OF NORTH CAROLINA In The General Court Of Justice County Superior Court Division IN THE MATTER OF: Name And Address Of Respondent FINDINGS AND ORDER INVOLUNTARY COMMITMENT PHYSICIAN-PETITIONER RECOMMENDS OUTPATIENT COMMITMENT G.S. 122C-261 NOTICE: This form is to be used instead of the Findings And Custody Order (AOC-SP-302) only when the petitioner is a physician or psychologist who recommends outpatient commitment or release pending hearing for a substance abuser. FINDINGS The petitioner in this case is a physician/eligible psychologist who has recommended outpatient commitment/substance abuse commitment with the respondent being released pending hearing. The Court finds from the petition in the above matter that there are reasonable grounds to believe that the facts alleged in the petition are true and that the respondent is probably: mentally ill and in need of treatment in order to prevent further disability or deterioration that would predictably result in dangerousness. a substance abuser and dangerous to himself/herself or others. ORDER It is ORDERED that a hearing before the district court judge be held to determine whether the respondent will be involuntarily committed. Date Signature Deputy CSC Assistant CSC Clerk Of Superior Court Magistrate NOTE TO CLERK: Schedule an initial hearing for the respondent pursuant to G.S. 122C-264 or G.S. 122C-284 and give notice of the hearing as required by those statutes. AOC-SP-305, Rev. 1/98 1998 Administrative Office of the Courts