Cal. Welfare and Institutions Code § 6254

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 People For 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.