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Here is the text we could read:

Bar no.

Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT COURT
COUNTY

ORDER APPOINTING
COMMITMENT REVIEW PANEL
Modified

Original

CASE NO.

2. The court received a petition for treatment of infectious disease requesting that the individual be committed to

Judge:

In the matter of

1. Date of Hearing:

Name of facility

IT IS ORDERED:

Name

5. Dr.

City

3. The court received a motion from the above named individual requesting that Dr.

a physician, be appointed to the commitment review panel previously appointed by the court.

4. The following physicians are appointed to the commitment review panel.

Address

State

Zip

appointed to the commitment review panel as requested by the individual.

is discharged from the panel and the following physician is

Address

City

State

Zip

6. The commitment review panel shall

a. review the need for commitment of the individual to a health facility.
b. review the record of the proceeding.
c. interview the individual, or document the reasons why the individual was not interviewed.
d. recommend either commitment or an alternative or alternatives to commitment and document the reasons for the

recommendation.

e. make its recommendation to the court in writing before

Date of hearing

Judge

Do not write below this line - For court use only

PC 107 (9/98) ORDER APPOINTING COMMITMENT REVIEW PANEL

MCL 333.5205(8); MSA 14.15(5205)(8), MCR 5.782

Order Appointing Commitment Review Panel

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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/commitment-testing-ID (2023-03)
Page(s): 1
Fields(s): 36
Average fields per page: 36
Reading Level: Grade 10
LIST Grouping(s): CO-07-00-00-00, CO-00-00-00-00.

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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.

cirno was cirno (0.60 conf)
county was county (0.39 conf)
original was original (0.39 conf)
modified was modified (0.35 conf)
docket_number was caseno (1.00 conf)
casename was casename (0.35 conf)
hdate__1 was hdate (0.35 conf)
barno was barno (0.35 conf)
item__1 was item2 (0.40 conf)
facility was facility (0.33 conf)
item__2 was item3 (0.35 conf)
doctor__1 was doctor (0.40 conf)
item__3 was item4 (0.35 conf)
name__1 was name1 (0.35 conf)
address__1 was address1 (0.35 conf)
city__1 was city1 (0.35 conf)
state__1 was state1 (0.35 conf)
zip__1 was zip1 (0.35 conf)
name__2 was name2 (0.44 conf)
address__2 was address2 (0.35 conf)
city__2 was city2 (0.35 conf)
state__2 was state2 (0.35 conf)
zip__2 was zip2 (0.35 conf)
name__3 was name3 (0.35 conf)
address__3 was address3 (0.35 conf)
city__3 was city3 (0.35 conf)
state__3 was state3 (0.35 conf)
zip__3 was zip3 (0.35 conf)
item__4 was item5 (0.35 conf)
doctor__2 was doctor1 (0.35 conf)
name__4 was name4 (0.35 conf)
address__4 was address4 (0.35 conf)
city__4 was city4 (0.35 conf)
state__4 was state4 (0.35 conf)
zip__4 was zip4 (0.35 conf)
hdate__2 was hdate1 (0.35 conf)

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

Order Appointing Commitment Review Panel

About This Form:

Identified Data Fields:

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