Fill and Sign the Respondent is a Minor Form

The respondent is represented by the attorney named below: File No. STATE OF NORTH CAROLINA by clear, cogent and convincing evidence finds these other facts: by clear, cogent and convincing evidence finds as facts all matters set out in the evaluation for admission/continued stay of the physician or other professional specified below, and the report is incorporated by reference as findings. The Court previously concurred in the admission, and the matter before the Court is the readmission of the respondent. The respondent is present at the hearing. The respondent appears before the Court to provide testimony and to answer the Court's questions; otherwise, respondent's appearance is waived. The respondent's appearance is waived. The respondent was voluntarily admitted to the 24-hour facility named below on the date specified. 3. 4. 5. 6. 9. 7. 8. Name Of Attorney (Over) Based on the evidence presented, the Court The respondent is a minor. 1. ORDER VOLUNTARY ADMISSION OF MINOR In The General Court Of Justice District Court Division County IN THE MATTER OF: G.S. 122C-224, -224.3 AOC-SP-913M, New 12/94 1997 Administrative Office of the Courts FINDINGS The Court finds that: 2. Name And Address Of Respondent Name Of Facility Date Of Admission Date Of Report Name Of Physician/Professional The Court concurs with the voluntary admission and authorizes the continued admission of the respondent for the length of time specified below. 1. The Court authorizes an additional stay for the length of time specified below for further diagnosis and evaluation and ORDERS this matter rescheduled for further hearing at the date, time and place specified below: The Court does not concur in the voluntary admission and the respondent is ordered released. Other: 3. 4. PM Length Of Admission 2. treatment at the 24-hour facility to which the respondent has been admitted but additional diagnosis and evaluation is needed before the court can concur in the admission. the respondent does not meet the criteria for admission. 4. less restrictive measures would not be sufficient. reasonable grounds exist to believe that the respondent is 2. 3. is is is the respondent 1. AOC-SP-913M, Side Two, New 12/94 1997 Administrative Office of the Courts CONCLUSIONS Based on the above findings, the Court concludes that ORDER days (cannot exceed 15) days AM Signature Of District Court Judge is not mentally ill. is not a substance abuser. is not in need of continued treatment at the 24-hour facility to which the respondent has been admitted. mentally ill a substance abuser and is in need of Name Of District Court Judge (Type Or Print) Date Length Of Additional Stay Date Of Hearing Time Of Hearing Place Of Hearing