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Enhanced Treatment Court Pre-Screening Form

  1. Lenawee County Resident

  2. US Citizen

  3. Does this individual have a mental health diagnosis?

  4. Any previous mental health diagnosis?

  5. Health Insurance Coverage?

  6. Registered Sex Offender?

  7. Any prior violent crime convictions?

  8. Was a firearm involved in current charge?

  9. Leave This Blank: