San Joaquin — Misdemeanor Incompetent to Stand Trial Diversion Confidential Information Sheet

Source: https://www.sjcourts.org/sites/default/files/forms/2026-02/Misdemeanor-IST-Fillable.pdf

AttorneyFILINGor PARTY:Party withoutSANan AttorneyJOAQUIN COUNTY BEHAVORIAL HEALTH NAME:ADDRESS: 1212 N. CALIFORNIA STREET ADDRESS:CITY, STATE, ZIP CODE: STOCKTON, CA 95202 CITY,TELEPHONESTATE,NO:ZIP 209-468-9370CODE

SAN JOAQUIN SUPERIOR COURT, STOCKTON BRANCH STREET ADDRESS: 180 E. Weber Ave, Dept. 7C CITY AND ZIP: Stockton, CA 95204

THE PEOPLE OF THE STATE OF CALIFORNIA Vs

Defendant COURT CASE NO.:

MISDEMEANOR INCOMPETENT TO STAND TRIAL DIVERSION CONFIDENTIALPROOFINFORMATIONOF SERVICE SHEET

Was the Defendant in the above-entitled matter evaluated by crisis staff for a level of care? ☐ Yes ☐ No Did the Defendant in the above-entitled matter connect with the officer of the day? ☐ Yes ☐ No When is the Defendant scheduled for a follow-up appointment? ___________________________________

Who is the follow-up appointment with and what service(s) is the follow-up appointment for?

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Did the Defendant in the above-entitled matter accept or decline the services offered? ☐ Accept ☐ Decline

Has the Defendant in the above-entitled matter previously been provided with services? ☐ Yes ☐ No

What services have been offered or will be provided to the Defendant? ________________________________

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Was the Defendant in the above-entitled matter provided with a reminder of the next court date? ☐ Yes ☐ No

Date:_________________ ______________________________________ Name of BHS representative completing form

Form Adopted for Mandatory Use www.sjcourts.org Superior Court of California, County of San Joaquin Form – Misdemeanor Incompetent To Stand Trial Diversion Confidential Information Sheet Effective 05/21/2024