Fill and Sign the District Court Standards of Judicial Practice Civil Commitment Form

5. STATE OF NORTH CAROLINA File No. FINDINGS (See ORDER on reverse) The Court finds that: CONCLUSIONS is a substance abuser. is not a substance abuser. is dangerous to himself. ot hers. is not dangerous to himself or others. 1. 2. 3. 4. Based on the above findings, the Court concludes that the respondent: AOC-SP-306, Rev. 12/94 © 2007 Administrative Office of the Courts The petitioner was was not re presented by counsel. The respondent was was not represe nted by counsel. by clear, cogent and convincing evidence finds as facts all mat ters set out in the physician's/eligible psychologist's/qualified professional's report, specified bel ow, and the report is incorporated by reference as findings. 3. by clear, cogent and convincing evidence finds these other fa cts: 1. 2. 4. In The General Court Of Justice District Court Division County IN THE MATTER OF: ORDER INVOLUNTARY COMMITMENT PROCEEDINGS SUBSTANCE ABUSER G.S. 122C-287 Respondent Based on the evidence presented Date Name Of Examiner finds that the respondent does not meet the criteria fo r commitment. and that venue be transferred to County. Committed/recommitted to the area authority/physician fo r a period not to exceed days. 180 days. 1 year. 2. Name And Address Of Area Authority/Physician Name Of District Court Judge (Type Or Print) Signature Of District Court Judge Date the respondent be discharged and this matter dismissed. Name And Address Of 24-Hour Facility ORDER AOC-SP-306, Side Two, Rev. 12/94 © 2007 Administrative Office of the Courts It is ORDERED that: the respondent be committed/recommitted to the area au thority/physician named below for the period specified. 1. The respondent is now being held at the 24-hour facility listed below and the respondent is ordered returned to that facility to be held until the area authority/physician to whom the respondent is committed authorizes release.