The order for evaluation shall be in substantially the following form:
In the Superior Court of the State of California for the County of _____
The People of the State of California Concerning
and
_____ Respondents _____
No. _____Order for Evaluation
The People of the State of California to
:
(Professional person in charge of the facility providing evaluation)
______ has appeared before me and appears to be, as a result of ______ (chronic alcoholism, the use of narcotics, or the use of restricted dangerous drugs), a danger to himself, or others, or gravely disabled.
Now, therefore, you are directed to evaluate ______ at ______ on the ____ day of ____, 19__, at __ o’clock _m.
Witness my hand, this ____ day of ____, 19__.
_____ _____ Judge of the ________ Court _____
Return of Order
I hereby certify that I received the above order for the evaluation of ______ and on the ____ day of ____, 19__, personally served a copy of the order and of the petition on the professional person in charge of the ______, a facility for treatment and evaluation, or his designee.
Dated: ____ 19__.
_____ _____ Signature and Title _____
(Amended by Stats. 1970, Ch. 1129.)
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