5227. (Amended by Stats. 1970, Ch. 1129.)

The order for evaluation shall be in substantially the following form: In the Superior Court of the State of California for the County of _____ The People of the State of California Concerning and Respondents No. _____ Order for Evaluation The People of the State of California to :

(Professional person in charge of the facility providing evaluation) ______ has appeared before me and appears to be, as a result of ______ (chronic alcoholism, the use of narcotics, or the use of restricted dangerous drugs), a danger to himself, or others, or gravely disabled. Now, therefore, you are directed to evaluate ______ at ______ on the ____ day of ____, 19__, at __ o’clock _m. Witness my hand, this ____ day of ____, 19__. Judge of the ________ Court Return of Order I hereby certify that I received the above order for the evaluation of ______ and on the ____ day of ____, 19__, personally served a copy of the order and of the petition on the professional person in charge of the ______, a facility for treatment and evaluation, or his designee. Dated: ____ 19__. Signature and Title