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CAUSENO._______________________

§ INTHEPROBATECOURT

§

§ OF

§

THESTATEOFTEXAS

FORTHEBESTINTEREST

ANDPROTECTIONOF

§ DENTONCOUNTY,TEXAS

WAIVEROFRIGHTTOCROSSEXAMINEWITNESSANDOFEVIDENCEOFARECENTOVERTACTOR

CONTINUINGPATTERNORBEHAVIORATHEARINGONCOURTORDEREDMENTALHEALTHSERVICES

ANDHEARINGONMOTIONTOMODIFY

We,theundersignedProposedPatientandAttorneyrepresenti ngsaidProposedPatientintheabove‐

referencedcause,herebywaivetherighttocross‐examinewitnessesandfilesamewiththeCourt.

Accordingly,attheHearingontheApplicationforCourt‐OrderedMentalHealthServices,theCourtmay

admitintoevidencetheCertificateofMedicalExaminationforMentalIllnessbasedonexaminations

conductedwithinthepreceding30days,and,ifsoadmitted,theCertificatesshallconstitutecompetent

medicalorpsychiatrictestimonyandtheCourtmaymakeitsfindingsonthebasisoftheseCertificates.

Wefurtherwaiveevidenceofeitherarecentovertactoracontinuingpatternofbehavior,ineither

case,tendingtoconfirmthelikelihoodofseriousharmtoothersortome,theProposedPatient,ormy

distressanddeteriorationofabilitytofunction.

SIGNEDANDENTEREDTHIS_______dayof___ ___________________,20____.

___________________________

GuardianofProposedPatient

(Ifapplies)

____________________________

ProposedPatient

_____________________________

Attorney

forProposedPatient

initials

Enter Patient's Name

Enter Attorney's Name

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THESTATEOFTEXAS INTHEPROBATECOURT OF FORTHEBESTINTEREST DENTONCOUNTY,TEXAS ANDPROTECTIONOF WAIVEROFRIGHTTOCROSSEXAMINEWITNESSANDOFEVIDENCEOFARECENTOVERTACTOR (Denton County, Texas)

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