Fill and Sign the Request and Order for Multidisciplinary Evaluation Sp 901mpdf Form

Schedule an init ial hearing f or t he respondent pursuant t o G. S. 1 2 2 C-2 6 4 or G. S. 1 2 2 C-2 8 4 and giv e not ice of t he hearing as required by t hose st at ut es. ment ally ill and in need of t reat ment in order t o prev ent f urt her disabilit y or det eriorat ion t hat w ould predict ably result in dangerousness. a subst ance abuser and dangerous t o himself / herself or ot hers. The pet it ioner in t his case is a phy sician/ eligible psy chologist w ho has recommended out pat ient commit ment / subst ance abuse commit ment w it h t he respondent being released pending hearing. The Court f inds f rom t he pet it ion in t he abov e mat t er t hat t here are reasonable grounds t o believ e t hat t he f act s alleged in t he pet it ion are t rue and t hat t he respondent is probably : STATE OF NORTH CAROLINA File No. NOTE TO CLERK: In The General Court Of J ust ice Superior Court Div ision Count y IN THE M ATTER OF: FINDINGS AND ORDER INV OLUNTARY COM M ITM ENT PHYSICIAN-PETITIONER RECOM M ENDS OUTPATIENT COM M ITM ENT G. S. 1 2 2 C-2 6 1 NOTICE: This f orm is t o be used inst ead of t he Findings A nd Cust ody Order (A OC-SP-3 0 2 ) only w hen t he pet it ioner is a phy sician or psy chologist w ho recommends out pat ient commit ment or release pending hearing f or a subst ance abuser. A OC-SP-3 0 5 , Rev . 1 / 9 8 Signat ure Deput y CSC Clerk Of Superior Court A ssist ant CSC M agist rat e FINDINGS ORDER It is ORDERED t hat a hearing bef ore t he dist rict court judge be held t o det ermine w het her t he respondent w ill be inv olunt arily commit t ed. Name A nd A ddress Of Respondent Dat e 1 9 9 8 A dminist rat iv e Of f ice of t he Court s