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Charlevoix County First Responders Guide
for Behavioral Interventions

The purpose of the First Responder’s Guide for Behavioral Interventions is to provide community partners with a clear outline of rules, processes, and procedures when responding to behavioral health related emergencies, especially when it intersects with the criminal justice system.

The Guide identifies which agencies the procedure or process applies
to and, at each step, assigns responsibility for the task(s).

Form Index

Forms may automatically download when you click on the “Click here” button.

  1. Protected Personal Identifying Information MC 97 (Click here)
  2. Addendum to Protected Personal Identifying Information MC97a (Click here)
  3. Petition for Mental Health Treatment PCM 201 (Click here)
  4. Clinical Certificate PCM 208 (Click here)
  5. Adult Formal Voluntary Admission Application DCH-0086 (Click here)
  6. Notification of Noncompliance and Request for Modified Order PCM 230 (Click here)
  7. Order for Report After Notification and Report PCM 231 (Click here)
  8. Order to Modify Order for Assisted Outpatient Treatment or Combined Hospitalization and Assisted Outpatient Treatment PCM 217a (Click here)
  9. Demand for Hearing PCM 236 (Click here)
  10. Letters of Guardianship PC 633 (Click here)
  11. Letters of Guardianship of Individual with Developmental Disability PC 662 (Click here)
  12. Pick Up Orders for Minors: Petition PCM 240m (Click here)
  13. Order Regarding Transport of Minor PCM240o (Click here)
  14. Petition for Continued Hospitalization of a Minor PCM 237 (Click here)
  15. Petition for Judicial Admission PCM 224 (Click here)
  16. Order and Report on Alternative Mental Health Treatment PCM 216 (Click here)
  17. Notice of Hearing PCM 212 (Click here)
  18. Notice of Hearing PC 562 (Click here)
  19. Proof of Service PC 564 (Click here)
  20. Order for Adjournment MC 309 (Click here)
  21. Request to Defer PCM 235 (Click here)
  22. Second Mental Health Treatment Order PCM 218 (Click here)
  23. Petition for Continuing Treatment Order PCM 218a (Click here)
  24. Notice of Hospitalization and Certificate of Service PCM 211 (Click here)
  25. Initial Order After Hearing on Petition for Mental Health Treatment PCM 214 (Click here)
  26. Petition and Order to Change Venue PC 608o (Click here)
  27. Six-Month Review Report PCM 226 (Click here)
  28. Petition for Discharge from Continuing Treatment PCM 220 (Click here)
  29. Order to Modify Order for Assisted Outpatient Treatment or Combined Hospitalization and Assisted Outpatient Treatment PCM217a (Click here)
  30. Notification of Noncompliance PCM 230 (Click here)
  31. Order for Report after Notification and Report PCM 231 (Click here)
  32. An Order after Notice of Non-Compliance with Assisted Outpatient Treatment or Combined order PCM 244 (Click here)
  33. Second Order for Mental Health Treatment PCM 219 (Click here)
  34. Continuing Order for Mental Health Treatment PCM 219a (Click here)