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Approved SCAO STATE OF MICHIGAN PROBATE COURT COUNTY OF JIS CODE SPA SUPPLEMENTAL PETITION TO APPLICATION FOR HOSPITALIZATION AND ORDER FOR EXAMINATION FILE NO. In the matter of PETITION 1. I executed the attached Application for Hospitalization PCM 201. I have been unable to have the individual examined by a physician or licensed psychologist although I have made the following efforts 2. Approved SCAO STATE OF MICHIGAN PROBATE COURT COUNTY OF JIS CODE SPA SUPPLEMENTAL PETITION TO APPLICATION FOR HOSPITALIZATION AND ORDER FOR EXAMINATION FILE NO. In the matter of PETITION 1. I executed the attached Application for Hospitalization PCM 201. I have been unable to have the individual examined by a physician or licensed psychologist although I have made the following efforts 2. I request the court to order a* the individual to be examined at the preadmission screening unit designated by the community mental health services program* b. a peace officer to take the individual into protective c....

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How to fill out the Pcm 201 online

The Pcm 201 is a crucial form used in the mental health process for hospitalization applications. Properly filling out this document is essential to ensure that the appropriate actions are taken regarding the individual's mental health evaluation and care.

Follow the steps to fill out the Pcm 201 form online

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the court county name in the designated space provided at the top of the form.
  3. Input the case file number in the specified field, ensuring that all references are accurate.
  4. In the petition section, include your full name as the petitioner and specify the name of the individual who requires hospitalization.
  5. Detail the efforts made to secure an examination by a physician or licensed psychologist in the space provided.
  6. Select the appropriate options regarding the request to the court, including whether to order an examination at the designated unit and protective custody by a peace officer.
  7. Carefully review all entries for accuracy, ensuring that your declaration is signed and dated.
  8. Provide your attorney's name, bar number, address, and contact information if applicable.
  9. Upon completion, you can save your changes, download the form, print it, or share it as necessary.

Complete your Pcm 201 form online today for a seamless submission process.

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The clinical certificate certifies that the individual personally examined is mentally ill and a person requiring treatment. The first certificate can be executed by any physician or licensed psychologist and is good for up to 72 hours prior to hospitalization.

This order may be valid for up to 15 months during which time you will receive psychiatric treatment.

Court staff will tell you to come to fill out a petition and submit it by email to: mentalhealth@wcpc.us. You will need to describe in writing: 1. What specific symptoms and behaviors the person is displaying.

Individual may be detained for 24 hours for such examination. If physician or psychologist will not certify, the Court may dismiss or order examination by a psychiatrist if available. If not available, it may order examination by physician or psychologist.

File your petition via email to: mentalhealth@wcpc.us; indicate “Emergency” in the subject line. i. Once your petition is processed you will be sent hearing information, including ZOOM instructions. ii.

This order may be valid for up to 15 months during which time you will receive psychiatric treatment.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232