Approved, SCAO
JIS CODE: SAO
STATE OF MICHIGAN PROBATE COURT COUNTY OF
FILE NO. OBJECTION OF MINOR TO SUBSTANCE ABUSE TREATMENT PLAN
In the matter of 1. I am years of age.
, a minor
2. The court ordered me to receive substance abuse treatment and rehabilitation services. 3. A review of my treatment plan was conducted and I received a copy of the review on
Date
.
4. I object to my substance abuse treatment plan and request a court hearing on this objection. The basis for my objection is:
Date
Minor's signature
Do not write below this line - For court use only
PC 613 (9/07)
OBJECTION OF MINOR TO SUBSTANCE ABUSE TREATMENT PLAN
MCL 333.6125