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PCM 208Mandatory

Report on Examination and Clinical Certificate

Michigan · Michigan State Court Administrative Office · Effective August 1, 2025

This form is used by an examiner to report on an examination and provide a clinical certificate to the court. It asks the examiner to state their findings regarding whether the individual needs treatment, if hospitalization is necessary, and to detail the facts supporting their conclusions.

The court describes it as: Court rule / statute: MCL 330.1400, MCL 330.1434, MCL 330.1435, MCL 330.1750

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

Hearing

Stage: Hearing

This form is used after a court orders an examination to determine the individual's mental condition and whether they require treatment or hospitalization.

Prepared by the court or clerk.

Common questions

Who must fill out this form?
The form is completed by an examiner who is authorized by law to certify the individual's mental condition, such as a psychiatrist, licensed psychologist, or physician.
What does the examiner have to do when filling this out?
The examiner must read a specific statement to the individual before asking questions and must describe the individual's actions, statements, and appearance.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect August 1, 2025.

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