Approved, SCAO
STATE OF MICHIGAN
CASE NO.
ORDER FOLLOWING HEARING ON
JUDICIAL CIRCUIT COURT
PETITION TO CONTINUE
COUNTY
TEMPORARY DETENTION
In the matter of
1. Date of Hearing:
Judge:
Bar no.
2. A petition and affidavit have been filed by a
local health officer
Community Health Department representative
asserting that an emergency exists. The court issued an ex parte order for immediate temporary detention of the individual.
THE COURT FINDS:
3. Notice of hearing was given to the individual.
4. The individual is temporarily detained at
.
Name of facility
5. There
is
is not
a preponderance of evidence that the individual would pose a threat to others if not temporarily
detained in a facility.
IT IS ORDERED:
6. The individual shall continue to be temporarily detained at
Name of facility where presently found
or other appropriate emergency care or treatment facility.
a. A petition for treatment of infectious disease of the individual has been filed with this court and the facility shall continue
temporary detention of the individual until the further order of the court.
b. Unless a petition for treatment of infectious disease of the individual is filed with the court, the facility shall discharge
the individual five days from the date of this order.
7. The individual is discharged from the facility.
Date
Judge
Do not write below this line - For court use only
MCL 333.5207(5); MSA 14.15(5207(5), MCR 5.782
ORDER FOLLOWING HEARING ON PETITION TO CONTINUE TEMPORARY DETENTION
PC 112 (6/98)
Approved, SCAO
STATE OF MICHIGAN
CASE NO.
ORDER FOLLOWING HEARING ON
JUDICIAL CIRCUIT COURT
PETITION TO CONTINUE
COUNTY
TEMPORARY DETENTION
In the matter of
1. Date of Hearing:
Judge:
Bar no.
2. A petition and affidavit have been filed by a
local health officer
Community Health Department representative
asserting that an emergency exists. The court issued an ex parte order for immediate temporary detention of the individual.
THE COURT FINDS:
3. Notice of hearing was given to the individual.
4. The individual is temporarily detained at
.
Name of facility
5. There
is
is not
a preponderance of evidence that the individual would pose a threat to others if not temporarily
detained in a facility.
IT IS ORDERED:
6. The individual shall continue to be temporarily detained at
Name of facility where presently found
or other appropriate emergency care or treatment facility.
a. A petition for treatment of infectious disease of the individual has been filed with this court and the facility shall continue
temporary detention of the individual until the further order of the court.
b. Unless a petition for treatment of infectious disease of the individual is filed with the court, the facility shall discharge
the individual five days from the date of this order.
7. The individual is discharged from the facility.
Date
Judge
Do not write below this line - For court use only
MCL 333.5207(5); MSA 14.15(5207(5), MCR 5.782
ORDER FOLLOWING HEARING ON PETITION TO CONTINUE TEMPORARY DETENTION
PC 112 (6/98)