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

LIT Lab Home | About The Explorer | Find & Compare | Explore: Michigan Lists

Here is the text we could read:

In the matter of

First, middle, and last name

1. I am the individual, and I demand a court hearing.

2. I am the
because

hospital director/designee,
the individual refuses to accept prescribed treatment.

outpatient treatment provider/designee, and I demand a court hearing

the individual orally demanded a hearing.

is participating in an outpatient treatment program in the community. The deferral period ends on

3. I am the executive director of the community mental health services program. The individual deferred the initial hearing and

I believe s/he continues to require treatment, but s/he is found not suitable for voluntary treatment, and I demand a

I believe s/he continues to require treatment, but s/he refuses to sign a voluntary treatment form, and I demand a

court hearing.

Date

4. I am the director of the hospital where the individual has remained hospitalized since deferring the initial hearing on
. I believe the individual continues to require treatment and

Date

will not agree to sign a formal voluntary admission, and I demand a court hearing.
is not suitable for voluntary admission, and I demand a court hearing.

5. The individual requires hospitalization pending the hearing and it is necessary that the court order a peace officer to

hospital pending the hearing.

transport the individual to the

6. The individual is located at

Date

Signature

Name (type or print)

Address

City, state, zip

(Complete only if item 5 is checked.)

ORDER

1. Date of hearing:

Judge:

Bar no.

2. A peace officer shall take the individual into protective custody and transport him/her to the hospital stated above.

Signature

Approved, SCAODo not write below this line - For court use only USE NOTE: If this form is being filed in the circuit court family division, please enter the court name and county in the upper left-hand corner of the form. STATE OF MICHIGANPROBATE COURTCOUNTY OF DEMAND FOR HEARINGFILE NO.PCM 236 (2/19) DEMAND FOR HEARINGMCL 330.1455(6), (8)-(11)PCS CODE: DFHTCS CODE: DFH

PCM 236, Demand for Hearing

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Michigan state courts. To learn more about the project, check out our about page.

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): 30
Average fields per page: 30
Reading Level: Grade 12
LIST Grouping(s): CO-00-00-00-00, CO-07-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

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.

stat_e_f_n_cour_count was STATE OF MICHIGAN PROBATE COURT COUNTY OF (0.67 conf)
fil_e was FILE NO (0.48 conf)
first_middle_last_name was First middle and last name (0.37 conf)
individual_demand_hearing was 1 I am the individual and I demand a court hearing (0.38 conf)
2_i_am_the was 2 I am the (0.44 conf)
program_individual_initial was 3 I am the executive director of the community mental health services program The individual deferred the initial hearing and (0.37 conf)
individual_remained_initial was 4 I am the director of the hospital where the individual has remained hospitalized since deferring the initial hearing on (0.40 conf)
individual_pending_officer was 5 The individual requires hospitalization pending the hearing and it is necessary that the court order a peace officer to (0.40 conf)
hospital_directordesignee was hospital directordesignee (0.40 conf)
individual_accept_treatment was the individual refuses to accept prescribed treatment (0.39 conf)
outpatient_treatment was outpatient treatment providerdesignee (0.40 conf)
individual_orally_hearing was the individual orally demanded a hearing (0.34 conf)
signature_date__1 was Date (1.00 conf)
believe_sign_demand was I believe she continues to require treatment but she refuses to sign a voluntary treatment form and I demand a (0.40 conf)
require_suitable_demand was I believe she continues to require treatment but she is found not suitable for voluntary treatment and I demand a (0.41 conf)
signature_date__2 was Date_2 (1.00 conf)
sign_admission_hearing was will not agree to sign a formal voluntary admission and I demand a court hearing (0.35 conf)
suitable_admission_hearing was is not suitable for voluntary admission and I demand a court hearing (0.35 conf)
transport_individual was transport the individual to the (0.33 conf)
individual_located was 6 The individual is located at (0.39 conf)
undefined was undefined (0.38 conf)
signature_date__3 was Date_3 (1.00 conf)
name_type_print was Name type or print (0.45 conf)
users1_address_line_one was Address (1.00 conf)
users1_address_line_two was City state zip (1.00 conf)
date_hearing was 1 Date of hearing (0.37 conf)
bar was Bar no (0.41 conf)
text__1 was Text1 (0.35 conf)
text__2 was Text2 (0.35 conf)
text__3 was Text3 (0.35 conf)

Create an Interactive Version of this Form:

The Weaver creates a draft guided interview from a template form, like the one provided here. To learn more, read "Weaving" your form into a draft interview.

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

PCM 236, Demand for Hearing

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

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