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Here is the text we could read:

STATE OF MICHIGAN

PROBATE COURT
COUNTY

ORDER REGARDING
TRANSPORT OF MINOR

CASE NO. and JUDGE

Court address

Court telephone no.

In the matter of

First, middle, and last name

THE COURT FINDS:

Date of birth

1. A request for hospitalization has been made pursuant to Chapter 4A of the Mental Health Code and the petitioner has
been unable to transport the minor for an evaluation.

2. The minor was hospitalized pursuant to Chapter 4A of the Mental Health Code, is on an

absence, and should be returned to the hospital.

unauthorized

authorized

3. Reasonable effort to transport the minor has been made.

IT IS ORDERED:

4. The petition is denied.

5. A peace officer shall take the minor into protective custody and transport him/her immediately to

for an evaluation pursuant to Chapter 4A of the

Mental Health Code, and if necessary thereafter, to

and that the person requesting the transport order shall meet the minor at the evaluation site and remain with the
minor for the duration of the evaluation.

hospital,

6. A peace officer shall take the minor into protective custody and transport him/her immediately to

hospital.

7. That this order expires on

Judge signature and date

Approved, SCAO
Form PCM 240o, Rev. 5/21
MCL 330.1498d(1), MCL 330.1498h, MCL 330.1498k, MCL 330.1498t
Page 1 of 1

PCS Code: OMNTCS Code: OMN

PCM 240o, Order Regarding Transport of Minor

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Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.courts.michigan.gov/MH-Forms (2023-03)
Page(s): 1
Fields(s): 22
Average fields per page: 22
Reading Level: Grade 8
LIST Grouping(s): CO-00-00-00-00, FA-00-00-00-00, CO-07-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

pursuant_mental_health was 7 A request for hospitalization has been made pursuant to Chapter 4A of the Mental Health Code and the petitioner has (0.55 conf)
minor_pursuant_mental was 8 The minor was hospitalized pursuant to Chapter 4A of the Mental Health Code is on an (0.36 conf)
reasonable_effort_minor was 9 Reasonable effort to transport the minor has been made (0.33 conf)
authorized was authorized_2 (0.46 conf)
unauthorized was unauthorized_2 (0.49 conf)
petition_denied was 10 The petition is denied (0.37 conf)
officer_shall_custody__1 was 11 A peace officer shall take the minor into protective custody and transport himher immediately to (0.40 conf)
officer_shall_custody__2 was 12 A peace officer shall take the minor into protective custody and transport himher immediately to (0.40 conf)
undefined__1 was undefined_2 (0.39 conf)
evaluation_pursuant_chapter was for an evaluation pursuant to Chapter 4A of the (0.44 conf)
mental_necessary_thereafter was Mental Health Code and if necessary thereafter to (0.38 conf)
undefined__2 was undefined_4 (0.39 conf)
hospital was hospital (0.40 conf)
order_expires was 13 That this order expires on (0.42 conf)
undefined__3 was undefined_3 (0.39 conf)
cas_e was CASE NO (0.47 conf)
judge was Judge (0.39 conf)
phone was phone no (0.35 conf)
court_address was court address1 (0.45 conf)
textbox__1 was textbox201 (0.35 conf)
textbox__2 was textbox200 (0.35 conf)
textbox__3 was textbox202 (0.35 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

PCM 240o, Order Regarding Transport of Minor

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Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02