What is this form for?

This form lists the treatment conditions that have been ordered for an outpatient commitment. It details what the person must do to stay in the outpatient program.

Who fills out this form?

The form includes sections for the court, the subject, and the treatment provider to fill out information.

ME-912

Treatment Conditions

Wisconsin · Wisconsin Court System · Effective November 21, 2019

This form lists the specific rules or conditions that have been set for someone who is receiving outpatient treatment. It requires the person to agree to follow these listed conditions.

The court describes it as: Itemizes the treatment conditions for an outpatient commitment.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Hearing

Start a case
Respond
Motions
Discovery
Hearing
Judgment
After judgment
Appeal

Stage: Hearing

This form is used when a court has ordered or a department has set treatment conditions for someone who is not staying in a hospital.

Prepared by the court or clerk.

Official instructions

How-to guides published by the court for this form.

Plain-language summary

Common questions

What is this form for?: This form lists the treatment conditions that have been ordered for an outpatient commitment. It details what the person must do to stay in the outpatient program.
Who fills out this form?: The form includes sections for the court, the subject, and the treatment provider to fill out information.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect November 21, 2019.

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