1. Based on the petition and other documents you received, this court is requested to order mental health treatment for you.

 

In the matter of 

First, middle, and last name

2. A hearing on the petition will be held at:

 

 

 

 

 

 

Location

 

 
 

 
 

 
 

 
 
 
 
  before Judge 
  

Date and time

 

 

 

Attorney name 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

3. You are entitled to be represented by an attorney at a full court hearing. The court has appointed:

Bar no.

Bar no.

City, state, zip 

 

 

Telephone no.

	 as	your	attorney.	If	an	attorney	of	your	choice	agrees	to	represent	you	and	notifies	the	court	of	his/her	appearance	on	your	
  behalf, that attorney may replace the court-appointed attorney. If you believe you are unable to pay for an attorney, and the 
  court agrees, your attorney will be reasonably compensated from public funds.

4. You have the right to be present at the hearing. If you fail to attend the hearing after having an opportunity to meet with your 
  attorney, you will be considered to have waived your right to attend and the hearing may be held without you.

5. You have a right to an independent clinical evaluation, except that if the petition is for judicial admission, you also have the 
 
right to an independent psychological evaluation instead of a clinical evaluation. If you believe you are unable to pay for this, 
  and the court agrees, the evaluation will be paid for from public funds. 

6. You have the right to demand a jury trial.

7. After consulting with an attorney, you may stipulate to the entry of an order for treatment.

8. You should discuss your rights with your attorney.

Date

 

Deputy	probate	register/clerk

PCM 212 (9/16) NOTICE OF HEARING AND ADVICE OF RIGHTSMCL 330.1453, MCL 330.1455, MCL 330.1463, MCL 330.1517Do not write below this line - For court use onlyApproved, SCAOSTATE OF MICHIGANPROBATE COURTCOUNTY OF NOTICE OF HEARING ANDADVICE OF RIGHTSFILE NO.PCS CODE: NHHTCS CODE: NHH