Nevada — CL23

Source: https://www.nevada.courts.ca.gov/system/files/forms-and-filings/cl23-mental-health-treatment-court-referral.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF NEVADA NEVADA COUNTY MENTAL HEALTH TREATMENT COURT REFERRAL

Client Information

Name: _________________________________________ Alias: ___________________________________

Address: ________________________________________________________________________________

Phone Number: (______) ________ - __________ DOB: _______________

Defense Attorney: ______________________________ District Attorney: ________________________________

Probation Officer (if applicable): __________________________ Date: _____________

Next Court Date: _______________

Underlying Charges
Case No. Maximum exposure
(note if VOP/1203.2)

District Attorney does object does not object (check one) to referral (no agreement as to appropriateness).

Special conditions of probation, if accepted into MHC (i.e. drug terms, search terms, CPO’s/stay aways,
restitution, etc):

_________________________________________________________________________________________

_________________________________________________________________________________________

Disposition upon graduation of MHC (check all that apply; if not checked, indicates no agreement):

Remain on probation with “standard” terms (including any “special conditions” – see above);

Modify probation to “informal” (summary court probation);

Reduction to misdemeanor per Penal Code §17;

Dismissal per Penal Code §1203.4

Disposition if terminated from MHC (if there is no new case):

Term/type of probation/Custody time/Any other special conditions (i.e. drug terms, search terms, restitution, etc.):

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Signature of Defense Counsel: _____________________________________SIGN Date: ___________________ Signature of District Attorney: _____________________________________SIGN Date: ___________________

COLLABORATIVE COURTS – MENTAL HEALTH COURT TREATMENT REFERRAL LOCAL CL23 (REVISED 7/01/2026) - MANDATORY