Form PCM 222 Order After Hearing on Petition for Discharge From Continuing Mental Health Treatment - Michigan

Form PCM222 is a Michigan Probate Court form also known as the "Order After Hearing On Petition For Discharge From Continuing Mental Health Treatment". The latest edition of the form was released in September 1, 2016 and is available for digital filing.

Download an up-to-date Form PCM222 in PDF-format down below or look it up on the Michigan Probate Court Forms website.

ADVERTISEMENT
PCS CODE: DIO
Approved, SCAO
TCS CODE: DIO
STATE OF MICHIGAN
FILE NO.
ORDER AFTER HEARING
PROBATE COURT
ON PETITION FOR DISCHARGE FROM
COUNTY OF
CONTINUING MENTAL HEALTH TREATMENT
In the matter of
First, middle, and last name
1. Date of hearing:
Judge:
Bar no.
2. A petition has been filed by
asserting that the individual named
Petitioner name (type or print)
above be discharged from the treatment program.
THE COURT FINDS:
3. Notice of hearing has been given according to law.
4. The individual
was present in court.
was not present for reasons stated on the record.
The hearing was
with
without a jury.
Present were:
, attorney for the individual, and
, attorney for the hospital.
5.
Testimony was given by
.
Testimony was waived and the parties consented to entry of the order.
6. The individual is under a one-year order of involuntary mental health treatment.
7.
a. There is clear and convincing evidence that the individual has a mental illness and continues to require treatment.
b. The individual no longer is a person requiring treatment.
8.
hospital can provide treatment
that is adequate and appropriate to the individual’s condition.
IT IS ORDERED:
9. The individual is discharged from
hospital and/or from the
treatment program.
10. The order requiring involuntary mental health treatment be continued.
11. Any hospitalization of the individual for mental health treatment shall occur in the hospital listed in item 8.
12. The individual be hospitalized under a continuing order for up to one year from date of this order.
(SEE SECOND PAGE)
Do not write below this line - For court use only
ORDER AFTER HEARING ON PETITION FOR DISCHARGE FROM CONTINUING
PCM 222 (9/16)
MENTAL HEALTH TREATMENT
MCL 330.1485a, MCR 5.747
PCS CODE: DIO
Approved, SCAO
TCS CODE: DIO
STATE OF MICHIGAN
FILE NO.
ORDER AFTER HEARING
PROBATE COURT
ON PETITION FOR DISCHARGE FROM
COUNTY OF
CONTINUING MENTAL HEALTH TREATMENT
In the matter of
First, middle, and last name
1. Date of hearing:
Judge:
Bar no.
2. A petition has been filed by
asserting that the individual named
Petitioner name (type or print)
above be discharged from the treatment program.
THE COURT FINDS:
3. Notice of hearing has been given according to law.
4. The individual
was present in court.
was not present for reasons stated on the record.
The hearing was
with
without a jury.
Present were:
, attorney for the individual, and
, attorney for the hospital.
5.
Testimony was given by
.
Testimony was waived and the parties consented to entry of the order.
6. The individual is under a one-year order of involuntary mental health treatment.
7.
a. There is clear and convincing evidence that the individual has a mental illness and continues to require treatment.
b. The individual no longer is a person requiring treatment.
8.
hospital can provide treatment
that is adequate and appropriate to the individual’s condition.
IT IS ORDERED:
9. The individual is discharged from
hospital and/or from the
treatment program.
10. The order requiring involuntary mental health treatment be continued.
11. Any hospitalization of the individual for mental health treatment shall occur in the hospital listed in item 8.
12. The individual be hospitalized under a continuing order for up to one year from date of this order.
(SEE SECOND PAGE)
Do not write below this line - For court use only
ORDER AFTER HEARING ON PETITION FOR DISCHARGE FROM CONTINUING
PCM 222 (9/16)
MENTAL HEALTH TREATMENT
MCL 330.1485a, MCR 5.747
Order After Hearing on Petition for Discharge from Continuing Mental Health Treatment (9/16)
File No.
13. The individual receive alternative treatment for no longer than one year, supervised by
.
Community mental health services or other designated entity
a. The following alternative treatment services are ordered:
b. The individual shall be hospitalized for up to
days of the one-year alternative treatment period.
1 to 90 days
A n initial hospitalization period shall be up to
days.
1 to 90 days
14. The individual receive assisted outpatient treatment for no longer than one year, supervised by
.
Community mental health services or other designated entity
a. The following assisted outpatient treatment services are ordered:
(See MCL 330.1468[2][e] for specific services.)
b. The individual shall be hospitalized for up to
days of the one-year assisted outpatient treatment period.
1 to 90 days
An initial hospitalization period shall be up to
days.
1 to 90 days
Date
Judge

Download Form PCM 222 Order After Hearing on Petition for Discharge From Continuing Mental Health Treatment - Michigan

817 times
Rate
4.6(4.6 / 5) 41 votes
ADVERTISEMENT
Page of 2