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CAUSENO.______________________

THESTATEOFTEXAS § INTHEPROBATECOUNTY

§

FORTHEBESTINTEREST  § OF

§

ANDPROTECTIONOF

________ § DENTONCOUNTY,TEXAS

RENEWALOFEXTENDEDCOMMITMENTORDER

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Patie

nt'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anExtendedHearing.

() requestsExtendedHearingbeforetheCourt.

() waivesjuryfortheExtendedHearing.

() 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.

() Other:___________________________________________________________

__________________________________________________________________

___________

_______________________________________________________

SIGNEDthisthe________dayof__

__________________,20_____.

____________________________________



AttorneyforProposedPatient

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THESTATEOFTEXAS INTHEPROBATECOUNTY FORTHEBESTINTEREST OF ANDPROTECTIONOF RENEWALOFEXTENDEDCOMMITMENTORDER NOTIFICATIONTOCOURTOFPROPOSEDPATIENT'SRESPONSETOATTORNEY (Denton County, Texas)

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