Fillable STATE OF ILLINOIS ) DOCKET Respondent ORDER FOR (Administrative Office of the Illinois Courts)

Fill Online, Printable, Fillable, Blank STATE OF ILLINOIS ) DOCKET Respondent ORDER FOR (Administrative Office of the Illinois Courts) Form

Use Fill to complete blank online ADMINISTRATIVE OFFICE OF THE ILLINOIS COURTS (IL) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

STATE OF ILLINOIS ) DOCKET Respondent ORDER FOR (Administrative Office of the Illinois Courts)

On average this form takes 8 minutes to complete

The STATE OF ILLINOIS ) DOCKET Respondent ORDER FOR (Administrative Office of the Illinois Courts) form is 3 pages long and contains:

  • 0 signatures
  • 33 check-boxes
  • 15 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Administrative Office of the Illinois Courts

BROWSE ADMINISTRATIVE OFFICE OF THE ILLINOIS COURTS (IL) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
STATE OF ILLINOIS
IN THE ________________JUDICIAL CIRCUIT
__________________COUNTY
(Rev. 4/3/17)
IN THE MATTER OF:
Respondent
)
) DOCKET
)
ORDER FOR INVOLUNTARY ADMISSION
NUMBER:______________________
THIS MATTER COMING TO BE HEARD ON THE PETITION OF _____________________(Petitioner)
FOR THE INVOLUNTARY ADMISSION OF __________________________(Respondent), AND:
G The Petitioner who initiated this matter pursuant to 405 ILCS 5/3-701 is PRESENT in court
and has received written notice, or waived notice, of his/her rights under 405 ILCS 5/3-902 to
receive notice of the Facility Director’s decision to discharge the Respondent.
G The Petitioner who initiated this matter pursuant to 405 ILCS 5/3-701 is NOT PRESENT in
court and the Clerk of the Court is directed to mail to the Petitioner notice of his/her rights
under 405 ILCS 5/3-902 to receive notice of the Facility Director’s decision to discharge the
Respondent.
G The Respondent is PRESENT in court.
G The Respondent is NOT PRESENT in court and his/her presence is waived by counsel.
G Notice of this hearing has been provided to the Respondent’s guardian and all relevant
persons pursuant to 405 ILCS 5/3-706.
AFTER A HEARING, THE COURT FINDS BY CLEAR AND CONVINCING EVIDENCE THAT: (check all
that apply)
G A. The Respondent is subject to involuntary admission on an inpatient basis because, in
accordance with Section 1-119 of the Mental Health and Developmental Disabilities Code,
[405 ILCS 5/1-119] (hereinafter “the Code”) he or she is a person with a mental illness
who: (check all that apply)
G 1. Because of his or her mental illness is reasonably expected, unless treated on an
inpatient basis, to engage in conduct placing such person or another in physical harm or
in reasonable expectation of being physically harmed.
G 2. Because of his or her mental illness is unable to provide for his or her basic physical
needs so as to guard himself or herself from serious harm without the assistance of family
or others, unless treated on an inpatient basis.
G 3. (i) Refuses treatment or is not adhering adequately to prescribed treatment; (ii)
because of the nature of his or her mental illness, is unable to understand his or her need
for treatment; and (iii) if not treated on an inpatient basis, is reasonably expected, based
on his or her behavioral history, to suffer mental or emotional deterioration and is
reasonably expected, after such deterioration, to meet the criteria of paragraph (1) or (2)
above.
1
G B. The Respondent is subject to involuntary admission on an outpatient basis under Section
1-119.1 of the Code because he or she is a person with a mental illness who: (check all that
apply)
G 1. Would meet the criteria for admission on an inpatient basis as specified in Section 1-
119 of the Code in the absence of treatment on an outpatient basis and for whom
treatment on an outpatient basis can only be reasonably ensured by a court order
mandating such treatment; or
G 2. If such mental illness is left untreated, is reasonably expected to result in an increase
in the symptoms caused by the illness to the point that the person would meet the criteria
for commitment under Section 1-119 of the Code, and whose mental illness has, on more
than one occasion in the past, caused that person to refuse needed and appropriate
mental health services in the community.
G For the reasons stated in open court, the Respondent is:
G 1. Not subject to involuntary admission on an inpatient basis under Section 1-119 of the
Code.
G 2. Not subject to involuntary admission on an outpatient basis under Section 1-119.1 of
the Code.
THE COURT’S RULING IS BASED ON FINDINGS OF FACT AND CONCLUSIONS OF LAW AS
STATED ON THE RECORD IN OPEN COURT.
THEREFORE, IT IS HEREBY ORDERED:
G THE PETITION IS GRANTED, AS FOLLOWS: (check all that apply)
G The Respondent be hospitalized at _________________________________________, a
Department of Human Services mental health or development center, which is the least
restrictive environment currently appropriate and available.
G The Respondent be hospitalized at ______________________________, a licensed private
hospital which is the least restrictive environment currently appropriate and available.
G The Respondent be hospitalized at a Department of Veterans Affairs facility, which is the
least restrictive environment currently appropriate and available.
G The Respondent undergo a program of alternative treatment as prescribed in the attached
Addendum.
G The Respondent be treated at __________________________, a private or community
health facility which is the least restrictive environment currently available and appropriate.
G The Respondent be placed in the care and custody of __________________________, and
the custodian shall have only the authority granted in the Addendum to this Order.
2
G The Facility Director of the named facility where the Respondent is to be hospitalized/receive
treatment shall file a treatment plan with this Court as required by 405 ILCS 5/3-814 within 30
days of the date of this Order.
G The period of hospitalization shall not exceed G 90 G 180 days. (405 ILCS 5/3-813)
G Other (please specify) ________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
G The Clerk of the Court shall forward copies of the ORDER TO NOTIFY THE ILLINOIS
STATE POLICE OF AN ADJUDICATION OF A PERSON AS A MENTALLY DISABLED
PERSON to the Department of State Police, Firearm Owner’s Identification Department, as
required by 430 ILCS 65/8.1.
G This matter is continued to _______________ at ________ __________________________
(Date) (Time) (Court Location)
for (please specify): __________________________________________________________
G APPEAL RIGHTS GIVEN: G In open court, Respondent present; or G To counsel, with
instructions to advise the Respondent who was not present in court.
G IT IS HEREBY ORDERED THAT THE PETITION IS DENIED AND DISMISSED FOR THE
REASONS STATED IN OPEN COURT.
DATED: ____________________________ ENTER: ________________________________
Judge #________________________________
APPROVED AS TO FORM:
___________________________________ ____________________________________
ASSISTANT STATE’S ATTORNEY ATTORNEY FOR THE RESPONDENT
3
Reset Form
Save Form
Print Form
NOTICE TO THE RESPONDENT AND OTHER PERSONS
IF YOU ARE AFFECTED BY OR INTERESTED IN THIS ORDER, YOU SHOULD KNOW THAT:
1. A FINAL ORDER MAY BE APPEALED.
The court must notify you (the Respondent) either directly or through your counsel of your
right to appeal and, if you are indigent, of your right to have free transcripts and counsel.
If you wish to appeal and cannot obtain counsel, counsel will be appointed for you
pursuant to Section 3-816 of the Mental Health and Developmental Disabilities Code.
2. AN ORDER FOR ADMISSION IS INITIALLY VALID FOR NO MORE THAN 90 DAYS. A
SUBSEQUENT ORDER MAY BE ENTERED FOR AN ADDITIONAL PERIOD OF 90
DAYS.
Thereafter, an order may be valid for up to 180 days. If the Facility Director does not
discharge you during that period or petition for a continued hospitalization, you must be
released.
3. RELATIVES OR FRIENDS MAY TRANSPORT YOU IF YOU HAVE BEEN ADMITTED
BY ORDER.
The court may authorize a relative or friend to transport you to the appropriate facility if
such person can do so safely and humanely.
4. UNWILLINGNESS OR INABILITY OF YOUR PARENT, GUARDIAN, OR PERSON IN
LOCO PARENTIS TO PROVIDE FOR YOUR CARE OR RESIDENCE IS NOT
GROUNDS FOR THE COURT’S REFUSING TO ORDER DISCHARGE.
A petition may be filed under the Juvenile Court Act or Probate Act to ensure appropriate
care and residence.
5. THE COURT MAY MODIFY THIS ORDER IN THE FUTURE.
If your treatment needs change, or if the facility or program cannot meet your needs,
upon petition or other proper method of review, the court may modify this order and enter
a revised order based on the new circumstances.
AT A MINIMUM, THESE PERSONS SHOULD RECEIVE THIS ORDER:
(a) The Respondent;
(b) The Respondent’s attorney;
(c) The director of the facility or program which will administer the treatment, if so
ordered by the Court;
(d) The person in whose care and custody the Respondent has been placed, if so
ordered by the Court; and
(e) The Department of State Police, Firearm Owner’s Identification Department, if so
ordered by the Court.
4
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

STATE OF ILLINOIS ) DOCKET Respondent ORDER FOR (Administrative Office of the Illinois Courts)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 13 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document