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Objection To Administrative Admission (Individual With Developmental Disability) PCM 203 - Michigan
| Objection To Administrative Admission (Individual With Developmental Disability) Form. This is a Michigan form and can be used in Mental Health Statewide . |
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Approved, SCAO OSM CODE: OBJ STATE OF MICHIGAN OBJECTION TO ADMINISTRATIVE FILE NO. PROBATE COURT ADMISSION (INDIVIDUAL WITH COUNTY DEVELOPMENTAL DISABLITY) CIRCUIT COURT - FAMILY DIVISION In the matter of , an individual with a developmental disability1. I object to the administrative admission of and request the Name court to schedule a hearing on this objection. This objection is made within 30 days after the admission of the resident. after the first objection or 6 months after a prior objection. Date Signature 2. The person filing this objection is the resident. I am age 13 or older. Name Relationship or reason interested in resident Complete address Telephone no. 3. The resident was administratively admitted to Name of center on upon the application of , Date Name the residents parent, guardian, person in loco parentis, Complete address Telephone no. Do not write below this line - For court use only MCL 330.1511; MSA 14.800(511), MCR 5.742PCM 203 (9/97) OBJECTION TO ADMINISTRATIVE ADMISSION (INDIVIDUAL WITH DEVELOPMENTAL DISABILITY)
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