Superior Court Of The State Of California For The County Of Los Angeles (Page 3 of 4) in pdf

Superior Court Of The State Of California For The County Of Los Angeles Page 3

B) The patient [ ] is able [ ] is not able to understand the risks or benefits of medication

or alternative treatments; (Explain)

______________________________________________________________________________

_____________________________________________________________________________.

C) The patient [ ] is able [ ] is not able rationally to understand and evaluate information

regarding informed consent, and otherwise participate in the treatment decision; (Explain)

______________________________________________________________________________

_____________________________________________________________________________.

8. Medication must be administered in order to alleviate the acuteness of the patient's current

symptomatology.

9. It is alleged on information and belief that the patient is required to have an advocate/legal

counsel appointed and is unable to retain such services.

WHEREFORE, Petitioner prays that:

1. An advocate be appointed to represent the patient in the medication

capacity hearing. The advocate may be an attorney privately retained by the patient or an

employee of the Los Angeles County Department of Mental Health attached to the Patient's

Rights Office;

2. The Court issue an order finding that the patient is incapable of giving informed consent

during the patient's commitment under the aforementioned applicable Welfare and Institutions

Code Sections.

3. For all other further and proper relief.

Page 3 of 4

Rev. 9/6/13

Superior Court Of The State Of California For The County Of Los Angeles Page 3