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

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Here is the text we could read:

1. A petition for mental health treatment was filed on 

 .

2. The individual has failed to make himself or herself available for an evaluation/examination.

In the matter of 

First, middle, and last name

 

3. I am interested in this matter as 
 
 
 
 
 

 petitioner. 
 
 caseworker. 
 psychiatrist/psychologist/physician. 
 interested person.
 other 
 

 
 
 
 
 

 

 

Date

 .

4. The following reasonable attempts were made to obtain the individual’s cooperation:

Signature

Name (type or print)

Agency 

Address

City, state, zip

Telephone no.  

Date

 

                     

                     

                     

                     

                     

 

  

  

 

 

 

   

 

 

 

 

 

Do not write below this line - For court use onlyPCM 245 (12/19) NOTICE OF INABILITY TO SECURE EVALUATION/EXAMINATIONMCL 330.1436Approved, SCAO JIS CODE: NIESTATE OF MICHIGANPROBATE COURTCOUNTY OFNOTICE OF INABILITY TO SECURE EVALUATION/EXAMINATIONFILE NO.

PCM 245, Notice of Inability to Secure Evaluation/Examination

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): 20
Average fields per page: 20
Reading Level: Grade 14
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.

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)
signature_date__1 was Date (1.00 conf)
petitioners1_name was petitioner (1.00 conf)
caseworker was caseworker (0.38 conf)
psychiatristpsychologistphysician was psychiatristpsychologistphysician (0.35 conf)
interested_person was interested person (0.45 conf)
other was other (0.43 conf)
undefined was undefined (0.38 conf)
reasonable_obtain_individuals__1 was 4 The following reasonable attempts were made to obtain the individuals cooperation 1 (0.37 conf)
reasonable_obtain_individuals__2 was 4 The following reasonable attempts were made to obtain the individuals cooperation 2 (0.37 conf)
reasonable_obtain_individuals__3 was 4 The following reasonable attempts were made to obtain the individuals cooperation 3 (0.37 conf)
signature_date__2 was Date_2 (1.00 conf)
name_type_print was Name type or print (0.45 conf)
agency was Agency (0.54 conf)
users1_address_line_one was Address (1.00 conf)
users1_address_line_two was City state zip (1.00 conf)
telephone was Telephone no (0.44 conf)
text was Text1 (0.35 conf)

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

PCM 245, Notice of Inability to Secure Evaluation/Examination

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