Motion For Cancellation Or Modification Of Voluntary Treatment Agreement
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Motion For Cancellation Or Modification Of Voluntary Treatment Agreement Form. This is a West Virginia form and can be use in Circuit Court Statewide.
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Tags: Motion For Cancellation Or Modification Of Voluntary Treatment Agreement, SCA-MH-907H, West Virginia Statewide, Circuit Court
IN THE CIRCUIT COURT OF ________________ COUNTY, WEST VIRGINIA
IN RE: Involuntary Hospitalization of
Case No. ________- MH -________
___________________________________
RESPONDENT
MOTION FOR CANCELLATION OR MODIFICATION
OF VOLUNTARY TREATMENT AGREEMENT
[W.Va. Code: ยง27-5-2(h)]
Now comes the undersigned Respondent and requests and hereby moves that the Voluntary Treatment Agreement as the
same more fully appears in the file of this cause be:[check one of the following]
__________
Canceled, or
__________
Modified. [If requesting modification, state the changes requested] ___________________________________
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The basis (ground) for this request is: [provide the reasons why this request is being made] ________________________
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_______________________________________________[attach additional pages as necessary].
Wherefore, your Respondent would request that this Court enter an order setting this motion for hearing.
Respectfully presented this ______ day of ______________________________, 20 ________.
Provide your mailing address:
_____________________________________________________
RESPONDENT SIGNATURE
____________________________________________________
____________________________________________________
SCA-MH 907H / 6-06
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