CAUSENO._____________________
§ INTHEPROBATECOURT
§
§ OF
§
THESTATEOFTEXAS
FORTHEBESTINTEREST
ANDPROTECTIONOF
§ DENTONCOUNTY,TEXAS
WAIVEROFPROBABLECAUSEHEARING
I, ,theProposedPatientintheabovestyledandnumberedcause,havingbeen
advisedofmyrighttoaHearingtodetermineifprobablecauseexistsformetobedetainedpursuant
toanORDEROFPROTECTIVECUSTODYissuedinthiscauseandtocontestthesame,doherebyagreeto
abidebysuchOrderforProtectiveCustody.Itisexpresslyunderstoodthatthisisnottobeconsidered
asanadmissionofmentalillnessordangerousnesstomyselforothers,andfurtherthatIreserveall
rightstopresentanydefensesavailableatthetimeofahearingonthemerits.
DATEDthisthe________dayof____________________,______.
__________________________________________
Proposed
Patient
I,theattorneyfortheProposedPatientintheabov estyledand numberedcause,haveadvisedsaid
ProposedPatientoftherighttoaHearingtodetermineifprobablecauseexistsforsaidProposed
Patienttobedetainedp ursuanttoanOrderofProtectiveCustody.Inmyjudgmentthebestinterestof
saidProposedPatientwouldbeservedbysuchdetentionandIdoherebywaivemyclient'srighttosaid
hearing.
DATEDthisthe________dayof_____________________,_______.
__________________________________________
AttorneyforProposedPatient
I,theundersignedattorne y ,acknowledgereceiptofaNOT ICEOFPROBABLECAUSEHEARINGissuedin
theabovestyledandnumberedcause.IherebywaivemyrighttoserviceofsaidNOTICE.
__________________________________________
Attorney
forProposedPatient
initials
Enter Patient's Name
Enter Patient's Name
Enter Attorney's Name
Enter Attorney's Name
CAUSENO.____________________
APPROVAL
OnthisdaycameontobeconsideredtheaboveWAIVER,andthesamehavingbeenexaminedby,andit
appearingtotheCourtthatsaidWAIVERissatisfactoryandissupportedbytheevidence,thesameis
herebyAPPROVED.
SIGNEDthisthe________dayof_____________________,20___
.
____________________________________
ASSOCIATEJUDGE
PROBATECOURT
DENTONCOUNTY,TEXAS