Form PCM 231 Order for Report After Notification and Report - Michigan

Form PCM231 is a Michigan Probate Court form also known as the "Order For Report After Notification And Report". The latest edition of the form was released in September 1, 2016 and is available for digital filing.

Download a PDF version of the Form PCM231 down below or find it on Michigan Probate Court Forms website.

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PCS CODE: ORN
Approved, SCAO
TCS CODE: ORN
STATE OF MICHIGAN
FILE NO.
ORDER FOR REPORT
PROBATE COURT
AFTER NOTIFICATION
COUNTY OF
AND REPORT
In the matter of
First, middle, and last name
1. The court has received notification that
a. the 90-day order for alternative treatment has not been sufficient to prevent the individual from inflicting harm or injuries
upon self or others.
b. the one-year order for alternative treatment has not been or will not be sufficient to prevent the individual from inflicting
harm or injuries upon self or others.
c. the individual named above is not complying with the order of alternative treatment.
d. it is believed that the alternative treatment program is not appropriate.
2. IT IS ORDERED that the
community mental health services program
prepare and file a report on the adequacy and suitability of the present alternative care or treatment and the availability of
care and treatment in another alternative treatment program or in a hospital or center.
Date
Judge
Bar no.
REPORT ON ADEQUACY AND SUITABILITY OF ALTERNATIVE TREATMENT
3. I,
, as
of the
community mental health services program, report as follows.
4. I have
reviewed the notification to the court to report as to
spoken with the person who notified the court to report as to
reviewed other available records to report as to
spoken with other knowledgeable persons to report as to
a. the reason for concern about the adequacy of the ordered care or treatment:
b. the continued suitability of the care or treatment:
c. the adequacy, for the needs of the individual, of care or treatment available at a hospital or center:
(SEE SECOND PAGE)
Do not write below this line - For court use only
ORDER FOR REPORT AFTER NOTIFICATION AND REPORT
PCM 231 (9/16)
MCL 330.1475(2), MCL 330.1519
PCS CODE: ORN
Approved, SCAO
TCS CODE: ORN
STATE OF MICHIGAN
FILE NO.
ORDER FOR REPORT
PROBATE COURT
AFTER NOTIFICATION
COUNTY OF
AND REPORT
In the matter of
First, middle, and last name
1. The court has received notification that
a. the 90-day order for alternative treatment has not been sufficient to prevent the individual from inflicting harm or injuries
upon self or others.
b. the one-year order for alternative treatment has not been or will not be sufficient to prevent the individual from inflicting
harm or injuries upon self or others.
c. the individual named above is not complying with the order of alternative treatment.
d. it is believed that the alternative treatment program is not appropriate.
2. IT IS ORDERED that the
community mental health services program
prepare and file a report on the adequacy and suitability of the present alternative care or treatment and the availability of
care and treatment in another alternative treatment program or in a hospital or center.
Date
Judge
Bar no.
REPORT ON ADEQUACY AND SUITABILITY OF ALTERNATIVE TREATMENT
3. I,
, as
of the
community mental health services program, report as follows.
4. I have
reviewed the notification to the court to report as to
spoken with the person who notified the court to report as to
reviewed other available records to report as to
spoken with other knowledgeable persons to report as to
a. the reason for concern about the adequacy of the ordered care or treatment:
b. the continued suitability of the care or treatment:
c. the adequacy, for the needs of the individual, of care or treatment available at a hospital or center:
(SEE SECOND PAGE)
Do not write below this line - For court use only
ORDER FOR REPORT AFTER NOTIFICATION AND REPORT
PCM 231 (9/16)
MCL 330.1475(2), MCL 330.1519
Order for Report After Notification and Report (9/16)
File No.
5. I recommend that the court
a. set a date for hearing.
b. modify the order for alternative care and treatment program as follows:
c. order the individual to be hospitalized in
hospital, which I
believe has an adequate and appropriate treatment program of the type and extent to meet the individual's needs and
condition.
d. order the individual be judicially admitted to
center.
e. order a peace officer to take the individual into protective custody and transport the individual to the hospital or center
if the individual refuses to comply with the order of hospitalization or judicial admission.
6. My recommendation is based upon the following described interviews, observations, and information:
Date
Signature
Business address
City, state, zip
Telephone no.

Download Form PCM 231 Order for Report After Notification and Report - Michigan

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