§ 6254 — California Welfare and Institutions Code

Wherever provision is made in this code for an order of commitment by a superior court, the order of commitment shall be in substantially the following form:

In the Superior Court of the State of California For the County of ____
The PeopleFor the Best Interest and Protection of	⎫⎪⎪	Order for Care,Hospitalization,or Commitment
as a ,	⎪
	⎪
and Concerning and	⎬⎪
, Respondents	⎪
	⎭
The petition dated ________, alleging that ________, having been presented to this court on the ________ day of ______, 20, and an order of detention issued thereon by a judge of the superior court of this county, and a return of the said order: And it further appearing that the provisions of Sections 6250 to 6254, inclusive, of the Welfare and Institutions Code have been complied with; And it further appearing that Dr. ________ and Dr. ________, two regularly appointed and qualified medical examiners of this county, have made a personal examination of the alleged ________, and have made and signed the certificate of the medical examiners, which certificate is attached hereto and made a part hereof; Now therefore, after examination and certificate made as aforesaid, the court is satisfied and believes that ________ is a ________ and is so ________. It is ordered, adjudged, and decreed: That ________ is a ________ and that _he * (a) Be cared for and detained in ________, a county psychiatric hospital, a community mental health service, or a licensed hospital for the care of persons with mental health disorders until the further order of the court, or * (b) Be cared for at ________, until the further order of the court, or * (c) Be committed to the State Department of State Hospitals for placement in a state hospital, or * (d) Be committed to a facility of the Department of Veterans Affairs or other agency of the United States, to wit: ________ at ________. It is further ordered and directed that ________ of this county, take, convey, and deliver ________ to the proper authorities of the hospital or establishment designated herein to be cared for as provided by law.
Dated this ________ day of ______, 20.
Judge of the Superior Court
* Strike out when not applicable.

(Amended by Stats. 2014, Ch. 144, Sec. 110. (AB 1847) Effective January 1, 2015.)