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Notice Of Hearing On Petition For Hospitalization Or Judicial Admission PCM 212 - Michigan
| Notice Of Hearing On Petition For Hospitalization Or Judicial Admission Form. This is a Michigan form and can be used in Mental Health Statewide . |
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Approved, SCAO OSM CODE: NHH STATE OF MICHIGAN NOTICE OF HEARING ON FILE NO. PROBATE COURT PETITION FOR HOSPITALIZATION OR COUNTY CIRCUIT COURT - FAMILY DIVISION JUDICIAL ADMISSION In the matter of 1. This court is requested to detain you for treatment in a hospital/center or order some other treatment program based on the grounds and for the reasons stated in the petition and the clinical certificates or report served on you. 2. A hearing on the petition will be held at: Location Date Time before Judge Bar no. 3. You are entitled to be represented by an attorney at a full court hearing. The court has appointed: Attorney name Bar no. Address 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 feel 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. For Judicial Admissions: You have a right to an independent medical or psychological evaluation. If you feel you are unable to pay for this, and the court agrees, the evaluation will be paid for from public funds. You also have the right to a jury trial.6. For Petitions for Hospitalization: You have the right to a jury trial. You also have a right to an independent clinical examination on an initial petition for hospitalization. If you feel you are unable to pay for this, and the court agrees, the examination will be paid for from public funds. 7. You should discuss your rights with your attorney. Date Deputy probate register/clerk Do not write below this line - For court use only MCL 330.1453; MSA 14.800(453), MCL 330.1455; MSA 14.800(455); MCL 330.1517; MSA 14.800(517)PCM 212 (9/97) NOTICE OF HEARING ON PETITION FOR HOSPITALIZATION OR JUDICIAL ADMISSION
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