Sample Court Mandate Letter

INSERT: COURT LETTERHEAD, SHOWING NAME, ADDRESS, AND PHONE NUMBER OF THE COURT

INSERT DOCKET #

INSERT DATE:

ADDRESS TO:

St. Joseph’s Addiction Treatment & Recovery Centers
P.O. Box 470
159 Glenwood Drive
Saranac Lake, NY  12983

Please be advised this court mandates [INSERT CLIENT NAME HERE] to 90-100 days of Inpatient Treatment at St. Joseph’s Addiction Treatment and Recovery Centers, followed by any aftercare placement deemed necessary by the facility.  This mandate includes any services needed at Adirondack Medical Center of Saranac Lake, NY, and any prescriptions needed from Health Direct of Gouverneur, NY, or Kinney Drugs of Saranac Lake, NY.

SIGNATURE OF JUDGE

                                                                                    Judge’s name (typed)