CAUSE NO. ______________________
THE STATE OF TEXAS § IN THE PROBATE COURT
FOR THE BEST INTEREST § OF
AND PROTECT OF
__________ § DENTON COUNTY, TEXAS
NOTIFICATION TO COURT OF PROPOSED PATIENT'S RESPONSE TO ATTORNEY
I, ___________________________, having been appointed as Attorney for the above-referenced
Proposed Patient, state that I interviewed ___________________________ this date, and that after
discussion with, and explanation to, the Proposed Patient of the circumstances of the case, and the
Proposed Patient's legal rights and options, the Proposed Patient:
( ) desires to not resist the Application and for an agreed Order to be entered, without
the need for a Temporary Hearing on the ________________________
( ) requests Temporary Hearing before the Court on the ________________________
( ) waives the right to a Probable Cause Hearing.
( ) waives the right to be present at a Temporary Hearing.
( ) waives the right to cross-examine witnesses.
( ) could not/would not communicate with me so as to ascertain true desire; consequently, is
unable or unwilling to participate with counsel. With the Court's approval, its findings should be
based on the Certificate(s) of Medical Examination; and if required, upon other competent
testimony; provided that when and if the patient becomes able and willing to contest the issues,
that the patient or any individual on the patient's behalf may request the Court to determine if
the ORDER should be set aside or modified.
( ) Recommended Outpatient treatment
( ) Other: ___________________________________________________________
__________________________________________________________________
SIGNED this the ________ day of ______________________, 20____.
_____________________________
Attorney for Proposed Patient
