United States District Court Eastern District of Pennsylvania

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https://ecf.paed.uscourts.gov/cgi-bin/DktRpt.pl?257353806604076-L_1_0-1

HABEAS,A/R

United States District Court

Eastern District of Pennsylvania (Allentown)
CIVIL DOCKET FOR CASE #: 5:15-cv-03984-JCJ

CATERBONE v. LANCASTER BEHAVIORAL HEALTH/ CRISIS INTERVENTION et al

Assigned to: HONORABLE J. CURTIS JOYNER
related Case: 2:06-cv-05138-JCJ
Cause: 28:2241 Petition for Writ of Habeas Corpus (federal)

Date Filed: 07/17/2015

Jury Demand: None
Nature of Suit: 530 Habeas Corpus: (General)
Jurisdiction: Federal Question

Petitioner
STANLEY J. CATERBONE

represented by STANLEY J. CATERBONE

561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
PRO SE

V.
Respondent
LANCASTER BEHAVIORAL HEALTH/ CRISIS
INTERVENTION
Respondent
CRAIG STEDMAN
Respondent
LANCASTER COUNTY DISTRICT ATTY
Respondent
DET. LT. CLARK BEARIWGER
Respondent
LANCASTER CITY POLICE
Respondent
FAIRMONT BEHAVIOR SYSTEM
Respondent
SILVIA GRATZ
CHIEF MEDICAL OFFICER

Date Filed

# Docket Text

07/17/2015

1 PETITION for Writ of Habeas Corpus, filed by STANLEY J. CATERBONE (NO IFP, NO FEE PAID). (Attachments: # 1 Civil Cover
Sheet)(jwl, ) (Additional attachment(s) added on 7/20/2015: # 2 Envelope) (jwl, ). Modified on 7/21/2015 (afm, ). (Entered: 07/20/2015)

PACER Service Center

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07/22/2015 06:35:58
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am6446:3514696:0 Client Code:

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Docket Report

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5:15-cv03984-JCJ

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7/22/2015 6:36 AM

Case 5:15-cv-03984-JCJ Document 1-2 Filed 07/17/15 Page 1 of 1

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Case 5:15-cv-03984-JCJ Document 1-1 Filed 07/17/15 Page 1 of 2

JCJ

IN THE UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF PENNSYLVANIA
CASE MANAGEMENT TRACK DESIGNATION FORM

Caterbone

CIVIL ACTION

v.
NO.

Lancaster Behavioral Health, et. al.

15

3984

In accordance with the Civil Justice Expense and Delay Reduction Plan of this court, counsel for
plaintiff shall complete a Case Management Track Designation Form in all civil cases at the time of
filing the complaint and serve a copy on all defendants. (See 1:03 of the plan set forth on the
reverse side of this form.) In the event that a defendant does not agree with the plaintiff regarding
said designation, that defendant shall, with its first appearance, submit to the clerk of court and serve
on the plaintiff and all other parties, a Case Management Track Designation Form specifying the
track to which that defendant believes the case should be assigned.

SELECT ONE OF THE FOLLOWING CASE MANAGEMENT TRACKS:

(a) Habeas Corpus-Cases brought under 28 U.S.C. 2241through2255.

2241

([gl)

(b) Social Security - Cases requesting review of a decision of the Secretary of Health
and Human Services denying plaintiff Social Security Benefits.

(0)

(c) Arbitration- Cases required to be designated for arbitration under Local Civil Rule 53.2.

(0)

(d) Asbestos - Cases involving claims for personal injury or property damage from
exposure to asbestos.

(0)

(e) Special Management- Cases that do not fall into tracks (a) through (d) that are
commonly referred to as complex and that need special or intense management by
the court. (See reverse side of this form for a detailed explanation of special
management cases.)

(0)

(f) Standard Management - Cases that do not fall into any one of the other tracks.

(0)

JUL 1 7 2015
Date

Deputy Clerk

Telephone

FAX Number

(Civ. 660) 10/02

Attorney for

E-Mail Address

Case 5:15-cv-03984-JCJ Document 1-1 Filed 07/17/15 Page 2 of 2

15

UNITED STATES DISTRICT COURT

3984

FOR THE EASTERN DISTRICT OF PENNSYLVANIA- DESIGNATION FORM to be used by counsel to indicate the category of the case for the purpose of
assignment to appropriate calendar.
AddressofPlaintiff:561

Fairthorne Ave., Philadelphia, PA 19128

Address of Defendant:
Place of Accident, Incident or Transaction:

Lancaster
(Use Reverse Side For Additional Space)

Does this civil action involve a nongovernmental corporate party with any parent corporation and any publicly held corporation owning 10% or more of its stock?
Yes D No D
(Attach two copies of the Disclosure Statement Form in accordance with Fed.R.Civ.P. 7.l(a))
Does this case involve multidistrict litigation possibilities?

Yes D

No D

ft~ /o';!
Judge _J-""-o---Jy'--'11-"e,"-'-r_ _ _ _ _ _ _ _ _ _ _ Date Terminated:-"'----------

RELATEDCASE,IFANY:
Case Number: (l G~ ~ / 3'D

Civil cases are deemed related when yes is answered to any of the following questions:
1. Is this case related to property included in an earlier numbered suit pending or within one year previously terminated action in this court?
YesD NoD
2. Does this case involve the same issue of fact or grow out of the same transaction as a prior suit pending or within one year previously terminated
action in this court?
YesD NoD
3. Does this case involve the validity or infringement of a patent already in suit or any earlier numbered case pending or within one year previously
Yes D No D
terminated action in this court?
4. Is this case a second or successive habeas corpus, social security appeal, or pro se civil rights case filed by the same individual?
YesD
CIVIL: (Place V'in ONE CATEGORY ONLY)
A Federal Question Cases:

1.

D Indemnity Contract, Marine Contract, and All Other Contracts

2.0FELA

D Jones Act-Personal Injury

4. D Antitrust

Diversity Jurisdiction Cases:

D Insurance Contract and Other Contracts

2. D Airplane Personal Injury

1.

D Assault, Defamation
4. D Marine Personal Injury

3.

5.

B.

NoD

3.

D Patent

5.

D Labor-Management Relations
7. D Civil Rights

D Motor Vehicle Personal Injury

D Other Personal Injury (Please specify)

7. D Products Liability

6.

6.

8.18] Habeas Corpus 2241

8.

D Products Liability -

D Securities Act(s) Cases

10. D Social Security Review Cases
11. D All other Federal Question Cases

9.

D All other Diversity Cases

9.

Asbestos

(Please specify)

(Please s p e c i f y ) - - - - - - - - - - - - - - - - - -

ARBITRATION CERTIFICATION
(Check Appropriate Category)
, counsel of record do hereby certify:
D Pursuant to Local Civil Rule 53.2, Section 3(c)(2), that to the best of my knowledge and belief, the damages recoverable in this civil action case exceed the sum of
$150,000.00 exclusive of interest and costs;
D Relief other than monetary damages is sought.

I,

Attorney-at-Law
Attorney l.D.#
NOTE: A trial de novo will be a trial by jury only if there has been compliance with F.R.C.P. 38.
I certify that, to my knowledge, the within case is not related to any case now pending or within one year previously terminated action in this court
except as noted above.

DATE:

JUl 1'7 2015

Deputy Clerk

CIV. 609 (5/2012)

Attorney l.D.#

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Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 13 of 32

INV<ll)bWN;r~RY

APPl.ll@ATI
'.

EM 16i~et:N:ev~EXA
Mental Health ProcedUres!A'tt of 1976

seC:t:;on Wi ~=
t' t,,_~

(THE BLANKS BELOW MAY BE COMPLETED FOLLOWING ADl\/llSSIGNd

NAME
.

S;tan!,~y J Caterbone

A6E>RESS
i:zso;'FremontAve Lanca.ster, PA 17603
NAME.OF COUNTV PRQGRAM
~"""tam:<1~ter Co. Cri~is 1.thervention
NAMEOF FACILITY

DOB

AGE

7/;15/1958

Sf?

NAME OF B~O

SEX
M

SSN

tanC:as~~cc:~ .;~&ps"'
AD.MISSION

~]..0~~9:rr959

~~~~~~~~~f---'7~--'-=~-'--~~~---1

ADMIS.SION NO.

. 1.

Part I must be completed by .~he p~rsbn who believessthe!~fl.tient is in n~ecl of treatment. If the person is not a
physician, police officer, the Ceunty Administrator onhis Mlegate1 he or ~.he must request authorization or:~
warrant through the tount.y Administra.tor.

2.

If the i'!Uthori~ation .or a warr~,~~ through t~e County ~Mmi~.iS.V?tpr is r~~~ired, call Qr~i~it the Office of the
Cour'fty;-Administrato'r. Autho~!~~tiori to take a p~tientllr ex~tnination wfr~out a.war~a,nt is to be documented
in Part II.. If a warrant is required, Part Ill must l::ie corn:RJ~ted Hy the County Administrator.or a person
desigm1t~Q by th~ Administrator to sign the warrants ...
i

-=---,,-,--,,,_,-_.-_-:=;--=~-""' ;----=="'*'=~~~f'-"-4'-'"""'fFS,,..,.._____,.i"'?F'?-~~'Y$"4'""'=~~<;~~'-"-="""'"-f"<'"-"''c.=-"'~-,,--o "'':~"""'""'~-,;,.,,~, ".,,--"'_-,,-~-~"'-'>~~ ;-;<~,;.;---=o

3.

--""-

-''ift"=-- '-="-

--~"""''"-r-'- -,,~.,-~-"~-,_

__c,-

-_,--.,"c=or--.oo,,.-.,,=-

Wtten the~'patent.is taken to the'ex~mim1tion fac;:ility,

rig
scribed in Form MH '783-A must:be explair;ied~
~
~
t.t~
'
k
Part IV s~ould be signed 'PY the ~e:rson wb.o explains ~, .... e-r ~r,,'to the 4:1a'tient.
f
: ,,:

, '

__

'<;;_

_,,

.'

'-

- :'.'

,tv,

.,

b~ completed ~Y .the :c~rnnty Adrniraistratorj9rre'.~r;~sentativ~~ orh the Director of the Facility (or
of th~ patent atthe facility,~

represenfative)
upon .arri,yal
""
.
.
.

4. Part Vis to

'

5.
6.

Part VI i.s.to be con:ipleted by, the examini~g.physidan.

lfadditjc;>h~lsh~.ets;~r~ re.,,.q~ired at<1nypointfo the c~m:f~tJqg.,thjs forrn, note on this form the number of

ad~ftiona'I sh~ets vih'iC'h ar~ attai3hed.

;

7.

'

., ,'

~~: ' .

, -:;., ~

', ._ '

t -

lft~e ipttie~t is sdP,Jed tQ, .(i:~irnin.al ,pro.t~e.di~'~std~:t~rntit~ii\~~~i'f;l\1 desf:ib~\oel6w:

-

'f~

Nane
.;

'+_:

.~~'

Case 5:15-cv-03984-JCJ Document 1' Filed 07/17/15 Page 14 of 32

IMP0RTANT!lf@TICE
~:t:.

ANY p:ER50N WHO P:R "'""""'~ES ANY FALSE

INFO;~!YJATIQN ON p:

~~"'

WHEN HE

COMPtETES1Hl8fl)RM, , .~BE SUBJECT TO

cRuXi'!i~AL PRosEcur1&:ir .. o MAY FAtE

CRIMINAL PENALTIES INC.~,~!:'.' G CONVICTION

OF A MISDEM~~NOR.

Part I
APPLICATION

I believe that Stanley J Caterbone

(PERSON'S NAME)

is severely mentally disabled: (check and complete all applicabl~lfor this patient.)
A person is severely mentally disabled when, as a result{~f mental illness, his/her capacity to exercise selfcontrol, judgment and discretion in the conduct of his/her affair:.gand social relations or to care for his/her own personal
needs is so lessened that he/she poses a clear and present dang~'f of harm to others or to himself/or herself.

Clear and present danger to others shall be shown by e-:;tablishing that within the past 30 days the person
has inflicted or attempted to inflict serious bodily h~:u'm on another and that there is reasonable probability
th,at such conduct will be repeated. A clear and pl~sent danger of harm to others may be demonstrated by
proof that the person has made threats of harm and has committed acts in furtherance of the threat to
commit harm; or
Clear and present danger to himself shall be shown by establishing that within the past 30 days;

1Z1

(i) the person has acted in such manner as to evidenq~ th.~t he/she WO!Jld be unable, without care, supervisi~p
and the continued assistance of others, to satisfy.~is/t:ier needs for nourishment, personal or medical c~je;
s'helter, or self-protection and safety, and that theJe is reasonable probability that death, serious bodily,
i!lJury or serio,us physical debilitation would ensue\~?ithin. 30 days unless adequate treatment were
afforded under the act; or

(ii) the p.~rsonhas attempted suicide and that there ifi:;easonable probability of suicide unless adequate
treatment is afforde_d under this act. For the pur:'"; '.~ of this subs.ectiqn, a clear a.net pr,es~_nt d~_r;iger may}:;,
,be d~Ajonstr~ted :~V the prooft:hatthe person fa
'}lciethreatsto commit suicide and has COh'rmitted
acts wliich are in furtherance of the th'reat to co>.
suicide; or
~

'Jt

ti

(iii) th~~ persqn.has substantially mutilate~himself/he.r~~JJpr 9ttempted to,,muti19te himself/herself .

substantially and th'at there is the reasonable probability of~ftiutilation unless adequate treatment is afforded under
:
ttiis act. Far the purposes
of this subsection, a clear and present d~,~~er st:iall be, esf ,' ,ee by pr99f tha.t
th~.;person nas made threats to comrriit !If~tilat:!o'~ an~ has'.~.Ztnhfed acts which
'
are'in furtherance of the threat to commffZmutilati.on.

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 15 of 32

Describe in detail th~specific behavior within the last 30 days
ch supports your belief (include location, daJe and
thn~ v{,hgp~v~:l'.dP"Q.~ipl~ a.nJ.t~~~J~ who QJl$.g,ftV;Q ;t;he;,~.e~bavfor:):ti\;:;., .

~--

I understand that I may be required to testify at a court hearing~R0hferning the information I gave.
'<ii:,_ -

1. On the basis of the information I gave.i3bove, I believe that....::S:.:;t.;;;;~ra""~l;:e~<=g,...;:o;.;::a~te::;::t;;;;b=o.:..:.ne~...,,..,~----------

,.~~r

"

(P'e"fisoN'S'NAME)

is in need of involuntary examination and treatment. I reque '' at;;(Gheck A or B - Notice that B can only be checke,d
~"''
by-=a. "-=-"=--~~.,,
physician,
a police officer,
the Cownty Administrator or 11 -"'erd,~fegate).
.
.,.
/, ,.
-="""~'=-,.,.,,,~
-.,,,_,e---..-~"-~""'"'""'"'-"==-'""' _ ,.='""""'=-~-====""-'""'--""---"-'-- ="'"-"' --. .,,~- .:::"~=- =,,...-.,,...,,._.,,,--- -~ c=- -,,.-,
--""~,_,__,._--or.......,_, 'Ff"'=~'--"'-v'-' - --- - ---=~~17

A.:D

Th~ CountvAdrpi.nistr
r~preser\tinR tile. Gou

-11

--

.,"' - -

wa,rrj:Jr:it~a.w.th.~rizinga polic~rha!JQrsomeon~

~trc:itor.c>t.ta.~,Jhe p;:\tient to a fa~l[ty.for

examina'tio~:and.1tre~.-.

~-'

\"

1~-'--~--'-~~~-,--'-~~~-'-~
f
D,l\TE
1'\

~<'":-1)
,t,1;:.' ~~';/i:

"f/. -~-~:~-

"

~:.~ "-----.,,-----~~~"'-,'-;.'""""..,.-'--;,,,----_:;.:.,~-

tBDEPH'bN'El'llO:
-,,..,
'
_'

'

t '.

Pc;ige~3;~f \'l
' , ~{ !.'.

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 16 of 32

Stanley J. Caterbone petition statement (page 1 of 5) from page 3 of this

document.

Stanley J. Caterbone has a long history of serious mental illness. He has

apparently stopped treatment for Schizophrenia, paranoid type, and is exhibiting
a dramatic increase in paranoid and persecutory delusions.
Over the years Mr. Caterbone has seen me sometimes as an ally and resource,
and sometimes as an enemy. Since 16 June, 2015, J have rec;:eived well over 100
emails from Mr. Caterbone. Some are addressed only to me and others have been
sent to multiple recipients including other Lancaster City Police officers.
The tone of these emails is growing steadily more antagonistic and accusatory. I
am now being accused of stealing a particular communications file "to justify
putti!lg [Stanley] on a terrorist list so.that you can justify using CONITELPRO on
[him]". This was in reference to Mr. Caterbone's belief that he had been
"followed around Lancaster by 'middle east,ern people"' and that I was in some,
wa.y supporting their activity. Tre email containing this accusation, dated 24 June,
2015, was titled, "WHY ARE YOU TRYING TO KILL ME?" (Attached p.4)
Over the past two weeks Mr. Caterbone has demanded, then either cancelled or
simply not kept, a number of face-to-face meetings with me. At the same time he
has solicited my agreement to be added to his LINKEDIN group while also sending
mass emails to multiple agencies accusing Lancaster City Police, and me in
particular, of ignoring "attacks" in his computer system.
On 09 July, 2015, I was alerted to a solicitation placed by Mr. Caterbone on
Craigslist. This solicitation is attached (p.3), but the gist is that he accuses
Lancaster City Police, PA Atty. General's office, FBI (Harrisburg) Lancaster County
DA's office and Manheim Township PD of hacking his computer and cell phone by
the use of "COINTELPRO". The posting solicits help to "hack [the accused] back if
necessary". Such a solicitation to commit a crime like hacking into a police and or
other governmental agency would normally be dealt with through criminal law,
but in this case I believe this to be a result of Mr. Caterbone's current
decompensated state of mind due to his mental illness.

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 17 of 32

Stanley J. Caterbone petition statement (page 2 of 5)

Mr. Caterbone has been involuntarily committed for mental health treatment at
least twice to my. knowledge, both times for substantial threats to kill people. In
April of 2010 I had to petition Mr. Caterbone after he posted online statements
that " ... CHIEF SADLER AND THE LANCASTER COUNTY DETECTIVES SHOULD BE
BEAT TO DEATH," and "FUCK YOU FUCKING ASSHOLES ... KILL A COP TIME!!!!!!!"
While Mr. Caterbone has not yet reached this pitch, I am alarmed at the spike in
his paranoid/persecutory and grandiose delusions, to include the recent posting
on Craigslist to solicit help to commit a crime that would have significant serious
ramifications for the safety of the public, that without urgent, inpatient mental
health treatment, Mr. Caterbone will quickly become a threat to the public.

Sincerely,

Det. Lt. Clark A. Bearinger 4AIJr,e ~71

Lancaster Bureau of Police
39 W. Chestnut Street, Lancaster, PA 17603
(717) 735-3405

7/912015

Computer Programer Extroadinaire

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 18 of 32

~ CAre1t./JoN /l!r;11t1,.; ''fk1111Hfl'M
CL lancaster, PA> gigs> computer gigs
sr~"/
pAH' 3 tJt: ~
Posted: ~9.h.9.Y.E~999

Computer Programer Extroadinaire (Lancaster)

cralgslist - Map data OpenStreetMap

1250 Fremont Street

....

~-~

--

-. -

compensation: % of Federal Laws1

I need an expert in computer programing to help defend against the

Lancaster City Police, the Pennsylvania Attorney General's Office,
the FBI (Harrisburg Office), the Lancaster County District
Attorney's Office and the Manhiem Township Police Department's
assault on my electronic Devices. I have credible information that
they are hacking my computer and cell phone through the auspices
ofCOINTELPRO. If need be we will hack them back. ONLY SERIOUS AND QUALIFIED
PERSONS APPLY. I will compensate via an offer for a percentage or fixed rate of my Federal
Claims that are filed in the UNITED STATES DISTRICT COURT FOR EASTERN
PENNSYLVANIA. Case No. 05-2288. Here is a link to the court DOCKET:
https://www.scribd.com/doc/270618234/2United-States-District-Court-Eastern-District-DOCKET05-2288-Remanded-for-Proceedings-Aug-20 I I-by-Third-Circuit
Here is the latest OPINION for the THIRD CIRCUIT which preserves my claims until I am ready to
go back into Federal Courts:
https://www.scribd.com/doc/271003461/3Third-Circuit-05-2288-Remanded-Back-to-District-CourtAug-201 l
Stan J. Caterbone
Advanced Media Group
do NOT contact me with unsolicited services or offers

2015 craigslist help safety privacy feedback cl jobs terms about mobile
http:l/lancaster.craigslist.org/cpg/5113703046.html

'P4&e ' oF 12..

1/1

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 19 of 32

Bearinger, Clark A
Stan J. Caterbone [scaterbone@live.com]
Wednesday, June 24, 2015 21:53
Bearinger, Clark A

From:
Sent:

To:
Subject:
Follow Up Flag:
Flag Status:

WHY ARE YOU TRYING TO KILL ME?

Follow up
Flagged

June 24, 2015

To: Detective Lt. Clark Bearinger, Lancaster City Police
Some-years ago this Muslim group, http://www.ikhwanscope.net/
was found to have visited my websit and was a follower on my twitter account. Back at this time there were
middle eastern people following me around Lancaster. I tried to warn people on my biogs and social media
that it was not a good idea to be torturing me like this for the reason that it gives the Muslim community an
opportunity to call our government hypocrites when it comes to our foreign policy.
I have emailed about this and now I cannot find my files verifying and confirming that it was a one way
communication to me, not me to them.
Did you take this file to justify putting me on a terrorist list so that you can justify using COINTELPRO on me?
I did manage to find a file with the following on that is dated January 8, 2010:

EXECUTIVE SUMMARY
copyright 2009

"Ya know what, I am beginning to analyze this War on Terror and am having
difficulty understanding it all. To me the most effective fundamental fight against
Extreme Terrorism is to reduce the motive; or the Hatred Against America. No one
seems to talk about that subject. How do we reduce that Hatred Towards America and
the West?
See, from my perspective, my situation is very disturbing. I mean we have the United States Torturing Me, a U.S. Citizen for no good
or valid reason. I have warned EVERYONE about using my situation to feed this HATRED towards America.
Low and behold a week or so ago I have had several Muslims sign up as Followers to my www.scribd.com/amgroup01 online
webspace, which I use to post documents. The following being the most prominent !KWAN Scope, "The Largest Muslim Brotherhood's
Scope on the Web":
http://ikhwanscope.net/main/
There have also been several Muslim individuals who signed up as followers around the same time, a week or so ago. They have also
signed up as followers on my www.twitter.com/StanCaterbone webspace."

Stan J. Caterbone

?Aw ?

oF 12-

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 20 of 32

Advanced Media Group, Ltd.,
Advanced Media Group

1-044 P0002/0002 F-653

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 21 of 32
PART II

Authorization for Transportation to an Approved Facility

For Examination Without a Warrant
(Under Section 302(a) (2))

For use in emergency situations when the Administrator orally authorizes a responsible person to take a patient
to a designated facility for examination without a warrant. When such authorization of a County Administrator or
designee is obtained by telephone, the documentation below is required:

NAME OF.,,_

f t!U{!(

"6"" '"~r:L .
{/Ju '/;azfit

.ft :~sJ.:1~

602

. REASON FOR ORALAUl'HORIZATION

6~
ally obtained authorization for transporting the patient to
From the above-named

Page 5 oflO

q-11

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 22 of 32

~l
l

Lancaster General Hospital

DOWNTIME LABEL

Lancaster General Heatth .

Patient Name: - - - - - - - - - - - - - - - - DOWNTIME CONSENT TO ffiEATMENT

'

1.

'

!.-hereby voluntarily-consent to receiving medical services at Lancaster General Hospita1 {LGH), including:
diagnostic and therapeutic procedures, examinations, hospital care, and mediyal and/or surgical treatment as
deemed necessary or advisable by my physician(s)_

2.

I am aware that the practice of medicine and surgery is not an exact science and l acknowledge that
guarantees have been made to

!T1

no

regarding the resutt of my treatment or examination in the hospital. l am

aware that I may refuse any drugs, treatments, and/or procedures offered to me.
3.

I hereby authorize LGH to release all information, including all or any part of my medical ~s, to my
insu-ance company, employer (Workmans' rompensation oo!)r), Medicare, Medicaid, or any other fund or third

party payor which may be responsible for payment of my benefits_

4.

While a patient at LGH, l understand 1hat I am responsib\ for the maintenance and safekeei)ing of personal

medical equipment, cash, and possessions.

5.

l hereby assign and grant to LGH all rights qnd interests to which l may be entitled under any insurance policy,
Med}care, or any other fund or 1hird party payment pian responsibl for payment of my benefits and where LGH
bills tor physician services, my medical benefits. I authorize payment of any such benefits directly to LGH.

6.

I acknow%edge that if a check in payment of the insurance benefits is sent by my insurance company to me,
eTther in error or because of insurance company policy, I agree to endorse and deliver the check to LGH_ I
understand that by virtue of the assignment desclibed .in this consent, any funds I receive belong to LGH and
that it is UNLAWFUL to use or appty the funds in any other way. In the event the insurance company check is
more than the outstanding hospital bill, satisfactory arrangements can be made between LGH and the
undersigned.

7.

ln the event the account remains unpaid, LGH may tum the account over to any attorney for collection; and if
LGH sues me to collect any amounts owed, I agree to pay LGH's actual collection costs, including reasonable
attorneys' fees as allowed by the laws of the Commonwealth of Pennsylvania.

_ _ _8. I understand that the Emergency Department physidans, Anesthesiologists, Radiologists, and other
physicians providing care are independent physicians, and are not employees or agents of LGH. I will be
[ tnitials
billed separately for .services provided by these physicians.

LANCASTER GENERAL. HEALTH MAY OBTAIN THIS CONSENT ON AN ANNUAL BASIS.

X,___~'+'--'~'-----------------------------Signature of Patient or Responsible Person

Date

Patient is unable to sign due to their medical condtt:ion;

Name of Registrar

Date

,..
Verbal consent obtained fr0m _ _ _ _ _ _ _ _ _ _ - - - - - - - - - - - - - - - - - - - - - - - - Patient/Responsble Person

Name of LG Health Employee

Date

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 23 of 32

PART VI
PHYSICIAN'S EXAMINATION
I affirm that

Stanley J Caterbone

Arrived at this facility at

(EXACT TIME)

And was examined by me

at
(EXACT TIME)

RESULTS OF EXAMINATION
FINDINGS: (Describe your findings in detail. Use additional sheets if necessary).

SeJ~-C~
~(l~~I'~' ~

{J )/ c ~fJ \.z ,c ,

~ \ u ~u'-j

TREATMENT NEEDED: (Describe the treatment needed by the patient. Continue on additional sheets if necessary).

In my opinion: (Check A or B)
A. Eit"The patient is severely mentally disabled and in need of treatment. He should be
( "''admitted to a facility designated by the County Administrator for a period of treatment
not to exceed 120 hours.
B.

The patient is not in need of emergency involuntary treatment. He shall be returned to a

place which he shall reasonably designate.

DATE

Page12.of f 2.

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 24 of 32

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 25 of 32

July 09, 2015

Stanley Caterbone
1250 Fremont St.
Lancaster, PA 17603
WARNING AGAINST TRESPASS
AND COMMUNICAT!ONS

Dear Stanley Caterbone,

On October 28, 2009 you were banned by Millersville University an action authorized by the
Millersville University Police and Millersville University Threat Assessment Team.
That on July 2, 2015 you came to the Millersville University Police Department to ask if you
were still banned from campus and spoke to Deputy Chief Howard Bauman. DC Bauman was
not familiar with your campus ban as he was not employed by the University on the date of
issuance and DC Bauman checked with the Office of Judicial Affairs about the No Trespass
Order. It is noted that the Office of Judicial Affair~ issues all student related No Trespass Ordt:rs.
DC Bauman was advised by Ms. Lori Austin that there was no longer a student judicial trespass
order and DC Bauman advised you that you were no longer on a trespass list, but could clarify
that with Ms. Austin.
On July 7, 2015 you had a conversation with Ms. Austin in which she advised you that the police
banned you from campus and you would need to speak with the university police, at which time
you also asked from Ms. Austin for something in writing telling you that you could come to
campus. Ms. Austin related that as she was explaining you need to communicate with others, that
you hung up the phone on her.
On July 9, 2015, staff members ofBiemesderfer Executive Center reported that you appeared in
their building and asked for the Assistant to the President and became displeased when advised
that she was not available and asked several more times for her causing others in the building to
be alarmed as they were aware you were banned from campus. You then said to the staff member
words to the effect of "You're going to make me do this" while waving papers at her which
alarmed the staff member. This unscheduled visit caused disruption to the oirice and scared
office staff.
On July 9, 2015 I spoke to you outside of the Millersville Borough building, after you were
observed pulling into a parking space of the building. I approached you while you were in your
car and I identified myself as the chief of Millersville University Police. You advised that you
were there to see Chief John Rochat and you refused an offer to talk with me about you not
1

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 26 of 32

having permission to visit Millersville University Property. I advised you verbally that you are
not permitted to be on campus, that your return would be considered trespassing. You told me
that you did not want to speak with me, and drove away. Prior to your leaving, I advised that I
would also communicate this to you in writing.
Therefore, by receipt of this letter, you are hereby warned that you have no right, either
expressed or implied in any form to enter upon or to remain in any place upon which this notice
of trespass is given, at any time whatsoever, and for whatever purpose without prior written
permission of myself or supervisor of the Millersville University Police Department. You are
specifically advised that you are not licensed or privileged to enter or remain upon any property
or buildings located at Millersville University, Millersville, PA or the Ware Center, 40 N. Prince
St. Lancaster, PA.
Should you not adhere tel' this notice in this matter, Uni\1ersity Police will be contacted and
pursue remedies to r~move you from campus, including criminal prosecution for Defiant
Trespass accord:rig to Pennsylvania Crimes Code Section 3503.
I further request no contact by you be made specifically to the staff and/or faculty of the offices
of the President and Provost through any type of communication including but not limited to
telephone, cell phone, text messages, electronic mail, postal mail, letters, notes, mail, etc, or
additional charges may be filed against you.
You have been warned; being so advised, govern yourself accordingly. This notice will remain in
effec~ until July 9, 2017 and may be extended upon information or cause. Should you have any

questions, you may contact me at the below address or number.

You ~ave been warned; being so advised, govern yourself accordingly. Should you have any
quest10ns, you may contact me at the below address or number.

{/,,~ll~;
l4-r /../; N ~ 'Ln. "
fOtC.. "'36 L f3t'I/ L

l'lil-.

Chief of Police, Millersville University

237 N. George St.
Witnessed: -----=----~C=~.,J6,nlyf
MillersviJle PA 17551
717.871.5972 Office Date:
/0 'J!Ul- pvrS-

''

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 27 of 32

... - of 5) from page 3 of this

Stanley J. Caterbone petition statement {pagEt 1

document.
Stanley J. ca.terbone has a long history of seriR0s mental illness. He h~s
...
apparently stopped treatment for Schizophrery;i:a, paranoid type, and is exh1b1tmg
1
a dramatic increase in paranoid and persecut~
~,y delusions.
c"<<'~~~-"

Over the years Mr. Caterbone has seen me s~imetimes as an ally and resource,
and so met irr.1,es-as"'aA..ex;i_,_em~...~.Ln.c~e,,,l6..-Juo_e1~~bK1S.,,J_h qY.,e...r~~e.iv.ed,,,weH. .ever-:J{)Q,~,.
e.r.r.i a i Is .f re:> m. Mr.-Cater.bon e....Sorn e~a r:s.add ll~,'.S,,e.d,..oJJ.lyJ.Q_rJl~qJJ.cLo..t.b.er.s....llaY..,e..bee.n,...
s~ot..tQJil.YltipJe..xe.cig1~.D1~LtJ_C,:!JJ.ding.other
..L~.ra0aster-GiW""PeMee0ftiGers
.
.
.
~

The"te5rre~""of-the se e m-a+ls,.is..gn~w.tr.i.g..ste.9.&!llY~!:S!.,.9.D!agQX.t~!i.-a.n.d..a,c.c u.s.aJQtY .. I ..-

a m_~g~..be ir:ig~a GGuse,d~otste aliag ..a_p~r!.i,S~'!Lf..WlllUiliGat.i or::i s ..f.i.le.~~to_jus.titv..

~~]~~~~~;it1hl:a;t~~ 1l!l~~tfS~if~~i~e1eJ~'lfe'i!~~Te>~n
[h" " This was in reference
~~tw~0.oehs11lh>eJief!f.~Q~~~t&
"fo_llgwe
r b 'mi
.a~~~ttJ~JLl~
---'~ -~~'*fia;;~'""~ .~,,,;!';4ig~1~L~ e e maiTCQfif~Ta1~g-tllTSaccusa110r1,cratecr2'2r]'=u"--n~e,~=201s, was titled, ",WHY ARE YOU TRYING T@ l\IP:~'ME?" (Attached p.4)
Over the past two weeks Mr. Caterbone has demanded, then either cancelled or
simply not kept, a number of face-to-face'n1ee\ting~ with m~. At the same time he
has sol;icited :my agreement to be added t();lhi~~llNKED1JN greup while also sending
.
"'*'
.
'
mass emails to multiple agencies accusin h~astef City Police, and me in
particular, of ignoring "attacks" in his co.
t~Ir system.

:,;~~~t> -

On 09 July, 2015, I was alerted to a solicit8-:,J;S3h'.pJaGed by Mr. caterbone oh

t~Crat~stist. L'his solicH:at_ion is attaohed {p.~ t:J~t':.t,he gist is~h:at he acc.\ii:ses
Lancaster City Police, PA Atty. General's d. /fJ31 :{Harrisburg) tanc~ster:Coumly
DA's office and Manh.eim T0wnship PD o(', kiflg his comwuter aAdr~e'l:I ,phone by
the use of "COINTeLP~':O". Tbe po~ting s
h1!1P tg> "hack [~t:t;i:e a~~~(seia] bacl(if
ne.ce'ssary". Suoh a sQtiGitatfon toc6m.
'ri~~HkeJ,pac~i~~ into:a.:ik.elice and or
otheJ;gcw~rnmental ~agen~~Mould norm;
e :~~e;a;lt. ~iitrh thr~~:~xgh~tlkllm1nal Jaw,
bwt in t~i5.,~~s.e I believe:tf:;Hs 110 0.e a ~eslill
, :t Cater!fuo;l")!e~'s"ctfrF~7rh
dec0m.15>~t:u'-r~:ated state ofminel due t6<f'itis
t~kfllnes!;.

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 28 of 32

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Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 29 of 32

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Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 30 of 32

Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 31 of 32

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Tl\ANSMISS.ION VERIFICATION. REPORT

TIME
NAME
FAX

: 07/13/2015 15:01
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Case 5:15-cv-03984-JCJ Document 1 Filed 07/17/15 Page 32 of 32

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TFANSMISSION VERIFICATION REPORT

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DATE, TIME.
FAX NO./NAME
DURATION
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. RESULT
MODE
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FAX
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07/13/ 2015 15: 08

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