CAUSENO._____________________________
§ INTHEPROBATECOURT
§
§ OF
§
THESTATEOFTEXAS
FORTHEBESTINTEREST
ANDPROTECTIONOF
ASAPERSONWITH
MENTALRETARDATION
§ DENTONCOUNTY,TEXAS
NOTIFICATIONTOCOURTOFPROPOSEDPATIENT'SRESPONSETOATTORNEY
I, ,havingbeenappointedasAttorneyfortheabovereferencedProposed
Patient,statethatIinterviewed ,thisdate,andthatafterdiscussionwith,and
explanationto,theProposedPatientofthecircumstancesofthecase,andtheProposedPatient'slegal
rightsandoptions,theProposedPatient:
() requestsLongTermCommitmentHearingbeforetheCourt.
() waivestherighttobepresentataLongTermCommitmentHearing.
() waivestherighttocrossexaminewitnesses.
() couldnot/wouldnotcommunicatewithmesoastoascertaintruedesire;consequently,is
unableorunwillingtoparticipatewithcounsel.WiththeCourt'sapproval,itsfindingsshouldbe
basedontheuponothercompetenttestimony;providedthat whenand ifthepatientbecomes
ableandwillingtocontesttheissues,thatthepatientoranyindividual onthepatient'sbehalf
mayrequesttheCourttodetermineiftheORDERshouldbesetasideormodified.
SIGNEDthisthe________dayof______________________,20___.
______________________________
Attorney
forProposedPatient
initials
Enter Attorney's Name
Enter Him of her
Enter Attorney's Name