In the matter of 

First, middle, and last name

1. Date of hearing: 

 

THE COURT FINDS:

 Judge: 

Bar no.

2. The individual named above was judicially admitted to a facility or hospital and has filed a petition for discharge.

3. 

Name

 , a physician or licensed psychologist, has filed a report

  concluding that the individual continues to meet the criteria for judicially ordered treatment.

4. IT IS ORDERED that the petition for discharge is dismissed.

 

                     

Judge

Do not write below this line - For court use onlyPCM 225 (2/19) ORDER DISMISSING PETITION FOR DISCHARGE FROM JUDICIAL ADMISSIONMCL 330.1532Approved, SCAO JIS CODE: ODDSTATE OF MICHIGANPROBATE COURTCOUNTY OFORDER DISMISSING PETITION FORDISCHARGE FROM JUDICIAL ADMISSIONFILE NO.

PCM 225, Order Dismissing Petition for Discharge From Judicial Admission

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• Sourced from www.courts.michigan.gov/MH-Forms (2023-03)
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• Fields(s): 8
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• Reading Level: Grade 11
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