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Here is the text we could read:

Approved, SCAO

STATE OF MICHIGAN
JUDICIAL CIRCUIT COURT
COUNTY

RECOMMENDATION OF
COMMITMENT REVIEW PANEL

Original Continued Appeal

CASE NO.

The following named panel members have training and experience in the diagnosis and treatment of serious communicable
diseases and infections:

1. We have reviewed the record of the proceeding, including the petition or claim of appeal filed with the court, and any other

an infectious agent.
a serious communicable disease.
a serious communicable infection.

In the matter of

Names of physicians

information we considered relevant.

2. We interviewed the individual on

Date

3. We did not interview the individual because

4. The individual is a carrier of

5. The individual is a health threat to others because:

6. The individual requires the following treatment:

7. We recommend treatment in

Name of facility

for the following reasons:

for a period of

Number of days or months

(PLEASE SEE OTHER SIDE)

Do not write below this line - For court use only

PC 108 (6/98) RECOMMENDATION OF COMMITMENT REVIEW PANEL

MCL 333.5205(10); MSA 14.15(5205)(10), MCR 5.782

8. We recommend the following alternative(s) to commitment:

The reasons for this recommendation are:

9. We recommend continuation of the commitment as ordered on

Date

for the following reasons:

10. We recommend termination of the current commitment as ordered on

Date

for the following reasons:

I certify that I am a physician licensed in the state of Michigan. I declare that this report has been examined by me and that its contents
are true to the best of my information, knowledge, and belief.

Date

Signature

Address

Name (type or print)

Telephone no.

City, state, zip

Telephone no.

Date

Signature

Name (type or print)

Address

City, state, zip

Date

Signature

Name (type or print)

Address

City, state, zip

Telephone no.

Recommendaiton of Commitment Review Panel

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/commitment-testing-ID (2023-03)
Page(s): 2
Fields(s): 49
Average fields per page: 24
Reading Level: Grade 8
LIST Grouping(s): Unknown

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.

cirno was cirno (0.60 conf)
county was county (0.39 conf)
docket_number was caseno (1.00 conf)
casename was casename (0.35 conf)
doctors was doctors (0.40 conf)
idate was idate (0.35 conf)
item__1 was item3 (0.35 conf)
reasons__1 was reasons (0.40 conf)
because2 was because2 (0.35 conf)
disease was disease (0.38 conf)
treatment was treatment (0.31 conf)
item__2 was item7 (0.35 conf)
facility was facility (0.33 conf)
time was time (0.45 conf)
reasons__2 was reasons1 (0.35 conf)
reasons__3 was reasons3 (0.35 conf)
item__3 was item2 (0.40 conf)
checkbox__1 was checkbox2 (0.35 conf)
checkbox__2 was checkbox3 (0.35 conf)
checkbox__3 was checkbox1 (0.35 conf)
checkbox__4 was checkbox5 (0.35 conf)
checkbox__5 was checkbox4 (0.35 conf)
checkbox__6 was checkbox6 (0.35 conf)
cdate__1 was cdate1 (0.35 conf)
cdate__2 was cdate2 (0.35 conf)
name__1 was name1 (0.35 conf)
name__2 was name2 (0.44 conf)
address__1 was address1 (0.35 conf)
address__2 was address2 (0.35 conf)
city__1 was city1 (0.35 conf)
telno__1 was telno1 (0.35 conf)
city__2 was city2 (0.35 conf)
telno__2 was telno2 (0.35 conf)
cdate__3 was cdate3 (0.35 conf)
name__3 was name3 (0.35 conf)
address__3 was address3 (0.35 conf)
city__3 was city3 (0.35 conf)
telno__3 was telno3 (0.35 conf)
item__4 was item8 (0.35 conf)
alternatives was alternatives (0.33 conf)
reasons__4 was reasons4 (0.35 conf)
item__5 was item9 (0.35 conf)
cdate__4 was cdate (0.35 conf)
reasons__5 was reasons5 (0.35 conf)
reasons__6 was reasons6 (0.35 conf)
item__6 was item10 (0.35 conf)
tdate was tdate (0.35 conf)
reasons__7 was reasons7 (0.35 conf)
reasons__8 was reasons8 (0.35 conf)

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

Recommendaiton of Commitment Review Panel

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