Order Dismissal Of Probable Cause Proceedings Based On Certification Of Examiner Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Order Dismissal Of Probable Cause Proceedings Based On Certification Of Examiner Form. This is a West Virginia form and can be use in Circuit Court Statewide.
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IN THE CIRCUIT COURT OF __________________ COUNTY, WEST VIRGINIA
IN RE: Involuntary Hospitalization of
Case No. ________- MH -________
___________________________________
ORDER:
Dismissal of Probable Cause Proceedings Based on Certification of Examiner Respondent NOT Addicted and/or Mentally Ill and Likely to Cause Serious Harm
[W.Va. Code: §27-5-2(e)]
RESPONDENT
An application for involuntary custody for mental health examination was filed in this matter on the __________ day of
___________________________, 20________, by ________________________________________________, Applicant.
On the ______ day of ________________________, 20_______, this Court reviewed the certificate of
________________________________________________________________, the physician/psychologist/court authorized licensed
clinical social worker/court authorized advanced nurse practitioner previously appointed to examine the Respondent, the contents of
which certificate are hereby incorporated by reference. The undersigned judicial officer hereby FINDS that the certificate does NOT
present findings that the Respondent is addicted and/or mentally ill or likely to cause serious harm to self or others because of
addiction or mental illness.
Accordingly, it is hereby ORDERED that the Respondent be immediately released pursuant to the provisions of West
Virginia Code § 27-5-2(e); the probable cause hearing heretofore ordered by this Court is cancelled; and these proceeding for
involuntary hospitalization are DISMISSED.
The Clerk shall enter the foregoing ORDER as of the day and date first above written and shall transmit attested copies to the
Sheriff of this county, to Applicant, to the Prosecuting Attorney of ________________________________ County, to Respondent's
counsel of record, and to the ______________________________________________________________ Mental Health Center.
___________________________________________________________________________
MENTAL HYGIENE COMMISSIONER / CIRCUIT JUDGE /MAGISTRATE
SCA-MH 905NC /6-06
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