IN THE CIRCUIT COURT OF ________________ COUNTY, WEST VIRGINIA IN RE: Involuntary Hospitalization of Case No. ________- MH -________ ___________________________________ RESPONDENT DISMISSAL ORDER: DISMISSAL OF MOTION FOR INVOLUNTARY HOSPITALIZATION [DUE TO NONCOMPLIANCE WITH VOLUNTARY TREATMENT AGREEMENT] [W.Va. Code: §27-5-2(h)] This matter was heard on the __________ day of ___________________________, 20________. The movant in this cause, __________________________________________, appeared in person [Check Appropriate Items]  pro se, or  was represented by ____________________________________________. The Respondent appeared in person and by appointed counsel, __________________________________________. Testimony was also presented by __________________________ representing ______________________________________________, the treatment provider, and also by the following witnesses: ______________________________________________________________________________________________________. After hearing the testimony of witnesses and receiving all relevant evidence; upon the arguments of counsel for the parties, the Court makes the following FINDINGS: ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ _________________________________________________________________________________. Based upon the findings stated herein, the motion to order involuntary hospitalization is hereby DENIED. The ORDER of this Court previously entered releasing the Respondent is unaffected by this motion and Order and the Respondent is advised that the Voluntary Treatment Agreement and the previous Order shall continue according to the terms of each as stated therein. The Clerk of this Court shall enter the foregoing as and for the day and date first above written and transmit attested copies thereof to the Movant named above, to all counsel of record, to the Respondent, and to ____________________________________ Mental Health Center/Treatment Provider named above. ____________________________________________________________________ MAGISTRATE / MENTAL HYGIENE COMMISSIONER / CIRCUIT JUDGE SCA-MH 907G / 6-06 American LegalNet, Inc. www.FormsWorkflow.com