Plaintiff-appellant Kenneth Scott filed suit against individuals who participated in his involuntarily commitment to a mental institution, alleging a dizzying array of violations of 42 U.S.C. § 1988 and related violations of state law. His appeal from the dismissal of those claims raises three important issues. We first reject the proposition that the state action requirement of a § 1983 claim is satisfied when a licensed physician submits an affidavit to law enforcement officials in support of involuntary commitment. We also address whether a county attorney has absolute immunity from a § 1988 claim arising from her role in civil commitment proceedings, and conclude she does. Finally, we review the district court’s conclusion that the First Amendment right to petition affords immunity from liability for claims of abuse of process and false imprisonment based on the submission of a petition for involuntary commitment. Applying our recent decision in
Cardtoons v. Major League Baseball Players Association,
I
Scott is an anti-abortion activist who frequently demonstrated in front of an abortion clinic in Boulder, Colorado, operated by defendant-appellee Dr. Warren Hern. On December 18, 1995, Hern prepared a sworn affidavit with the assistance of defendant-appellee C. Jan Rundus, Assistant Boulder County Attorney, stating that he had “become increasingly concerned with the recent behavior of a protestor named Kenneth T. Scott.” (Appellant’s App. at 107.) He then set forth the following reasons for his concern: Scott had been arrested at least twenty-one times in the past seven years, often in relation to his anti-abortion activities and at least once for felony assault; Scott had been imprisoned for violating a restraining order obtained by the Denver Planned Parenthood clinic; Scott had made numerous thrеatening statements directed towards Hern, including ‘Warren, how many days do you have left? The Lord showed me you have less than one year. One year and he’s gonna take your life.” (id.); Scott was a survivalist and expert marksman who, according to his wife, owned numerous guns; a mental health report dated October 7, 1991, diagnosed Scott with narcissistic personality disorder and noted that Scott had been hospitalized at least four times for psychiatric reasons; a second mental health report dated May 4, 1994, diagnosed Scott with bi-polar disorder depressed with psychotic features, albeit in remission; a “Behavioral Profile and Threat Analysis” dated February 7, 1995, stated that Scott “is exhibiting a general disregard for rules and pro social behaviors.... [Individuals who are perceived as going against his belief system [are] a likely target.” (id.); a report by defendant-appellee Detective Greg Idler of the Boulder Police Department described an incident in which Scott became “instantly enraged” and started yelling “in a strangе tongue,” (id. at 109); and Scott succeeded in locating and placing antiabortion posters near Hern’s mountain cabin in Gilpin County. Hern concluded by stating, “I believe that he is a danger to others and perhaps gravely disable [sic] as a result of his mentally ill, religious obsessions with me and the abortion rights issue. I believe that his condition is serious enough to warrant an evaluation.” (Id. at 110.) Hern obtained the two mental health reports and the behavioral profile and threat analysis from unnamed “law enforcement officials,” identified in Scott’s complaint as John and Jane Does 1-100. *905 (Id. at 108.) Hern also employed a private investigator, defendant-appellee Michael Newell, who furnished Hern with some of the information contained in the affidavit.
Rundus filed a petition and Hern’s affidavit with the Boulder County District Court on December 18, 1995. The petition requested the court to order that Scott be taken into custody for a seventy-two-hour treatment and evaluation pursuant to Colo. Rev.Stat. § 27 — 10—105(l)(b). The court issued the requested order the same day.
On December 20,1995, Idler, acting pursuant to the court’s order, took Scott into custody. Following an initial evaluation at the Boulder Mental Health Facility, Scott was transferred to the Colorado Mental Health Institute (“CMHI”) at Fort Logan, Colorado. Upon admission, Dr. Qwick diagnosed Scott as “[bjipolar, hypomanic-homicidal” and estimated that he would need to remain in treatment for two to four' weeks. (II J. Supp.App. at 518.) The following day, Dr. Levy made a tentative diagnosis of bipolar illness and hypomania but noted that more data was necessary to determine if Scott was dangerous. Based on the foregoing information as well as a separate interview, on December 22, 1995, defendant-appellee Dr. David Graybill found that Scott was a danger to himself and others and gravely disabled and certified Scott for short-term (not to exceed three months) involuntary treatment pursuant to Colo.Rev.Stat. § 27-10-107. Seven days later, Scott’s attorney requested that the court review the certification for short-term treatment. See Colo.Rev.Stat. § 27-10-107(6). On January 30, 1996, forty-one days after his commitment and before the review hearing, Dr. Graybill determined that Scott no longer met the criteria for continued involuntary treatment and authorized his release.
On the same day he submitted his affidavit to the Boulder County Attorney, Hern sought and obtained a temporary restraining order (“TRO”) from the Gilpin County Court. The TRO prohibited Scott from, inter alia, interfering with Hern and excluded Scott from Hern’s primary residence, Hern’s mountain cabin, and Hern’s clinic. A hearing to determine whether the TRO should be made permanent was set for January 2, 1996. Scott’s attorney entered a written appearance and filed a motion for continuance, but he did not appear on January 2. At the hearing, the court denied the motion for continuance, heard additional evidence, and in conclusion issued a permanent restraining order. Scott’s subsequent challenges to the permanent restraining order were unsuccessful.
Scott initiated the present action in the United States District Court for the District of Colorado on December 17, 1996. Scott raised numerous federal and state law claims, all of which were dismissed under Fed.R.Civ.P. 12(b)(6) or resolved on summary judgment under Fed.R.Civ.P. 56. On appeal, Scott seeks to have this court reinstate numerous claims: (1) violations of 42 U.S.C. § 1983 against Hern, Newell, Rundus, Graybill, Idler, and John and Jane Does; (2) outrageous conduct against Hern, Rundus, and Graybill; (3) false imprisonment against Hern, Rundus, and Graybill; (4) abuse of process against Hern; and (5) invasion of privacy against Hern and Newell.
II
We first address Scott’s § 1983 claims against Hern, Newell, Rundus, Graybill, Idler, and certain unnamed police officers. In his complaint, Scott alleged that each of these individuals violated his constitutional rights to be free from unreasonable search and seizures, freedom of speech, liberty, equal protection of the laws, and/or due process of the law by their participation in the civil commitment proceedings. He also alleged that Hern, Newell, and Idler deprived him of due process of law in relation to the restraining order proceedings.
*906 A
Holding that Hеrn and Newell did not act under color of state law, the district court dismissed the § 1983 claims against them under Fed.R.Civ.P. 56 and 12(b)(6), respectively.
1
The district court also denied Scott’s motion to amend those claims because the proffered amended complaint failed to cure the deficiencies. We review de novo the grant of summary judgment.
See Jenkins v. Wood,
To state a cause of action under 42 U.S.C. § 1983 for an alleged violation of the Fourteenth Amendment and provisions of the Bill of Rights incorporated into the Fourteenth Amendment, the challenged conduct must constitute state action.
See Lugar v. Edmondson Oil Co.,
“First, the deprivation must be caused by the exercise of some right or privilege created by the State or by a rule of conduct imposed by the State or by a person for whom the state is responsible. Second, the private party must have acted together with or ... obtained significant aid from state officials or engaged in conduct otherwise chargeable to the State.”
Id.
(quoting
Wyatt v. Cole,
A private individual does not engage in state action simply by availing herself of a state procedure.
Pino
involved an alleged violation of § 1983 arising from an involuntary commitment in New Mexico.
Hern’s submission of the affidavit is no different than the actions of the therapist in
Pino:
He did “nothing more than provide information which” Rundus and the county judge “considered in making their independent judgments.”
Id.
at 1466. Contrary to Scott’s suggestion, the use of a state procedure does not become state action simply because the person using the procedure is a licensed professional such as a physician.
See id.
(holding that the private physician who certified the defendant for transportation pursuant to the civil commitment statute was not a state actor). Put another way, it is not the case that Hern’s “official character is such as to lend the weight of the State to his decisions.”
Lugar,
Scott also sought to establish state action by alleging that Hern conspired with state officials to deprive him of his constitutional rights.
4
“When a plaintiff in a § 1983 action attempts to assert the necessary ‘state action’ by implicating state officials or judges in a conspiracy with private defendants, mere conclusory allegations with no supporting factual averments are insufficient; the pleadings must specifically present facts tending to show agreement and concerted action.”
See Sooner Prods. Co. v. McBride,
In his amended complaint, Scott alleged that Hern acted in concert with Rundus and unnamed “state officials.”
*908
(Appellant’s App. at 69-71.) Nowhere in the section of the complaint setting out the § 1983 claim against Hern, however, does Scott provide factual averments as to the nature of those concerted activities, other than Rundus’s role in preparing and submitting the affidavit. Although a subsequent section of the complaint pertaining to the claims against John and Jane Does contains a more specific allegation — that the aforementioned unnamed officers “turned over” Scott’s medical records to “defendant Hern and/or his agent Newell” (Appellant’s App. at 92) — that allegation was not realleged or incorporated by reference with respect to the § 1983 claim against Hern.
Cf. International Mktg., Ltd. v. Archer-Daniels-Midland Co., Inc.,
Finally, we reject Scott’s claim that Hern and Newell violated his constitutional rights by preventing him from participating in the permanent restraining order hearing. This claim fails because Scott’s inability to participate in those proceedings was the result of his commitment, and, as discussed, Hern and Newell’s roles in his commitment did not constitute state action.
B
In his proffered second amended complaint, Scott’s § 1983 claim against Rundus alleged the following conduct by her caused the deprivation of his constitutional rights: (1) assisting Hern in the preparation of his affidavit; (2) failing to fully investigate Scott’s mental status, in particular failing to investigate the allegations in Hern’s affidavit in light of the conflict of interest she knew existed betweеn Hern and Scott; (3) relying on medical records she knew or should have known were illegally obtained; and (4) moving to suppress evidence of Scott and Hern’s political conflict.
5
The district court denied Scott’s motion to amend his § 1983 claim against Rundus on grounds of absolute immunity. We review determinations of absolute immunity de novo.
See Gagan v. Norton,
“[S]tate attorneys and agency officials who perform functions analogous to those of a prosecutor in initiating and pursuing civil and administrative enforcement proceedings” are “absolutely immune from suit under section 1983 concerning activities ‘intimately associated with the judicial ... process.’ ”
Pfeiffer v. Hartford Fire Ins. Co.,
The question is whether, applying this functional analysis, the allegedly improper actions by Rundus were “intimately associated” with the civil commitment proceedings.
Imbler,
Rundus’s role in preparing and submitting the petition for a seventy-two-hour evaluation also falls under the umbrella of absolute prosecutorial immunity. After her conversation with Hern, Rundus’s office prepared the affidavit, which Hern signed under penalty of perjury. Rundus then attached the affidavit to an unsworn petition for evaluation, which she submitted to the Boulder County District Court. The Supreme Court has held that similar actions merit absolute immunity.
See Kalina v. Fletcher,
By contrast to the attorney in
Kalina,
Rundus never stepped outside her prose-cutorial role: She drafted an affidavit con
*910
taining Hern’s allegations without augmentation or further investigation, prepared a petition matching those allegаtions to the relevant statutory language, and submitted the petition to the court, but she did not attest to the truth of those allegations.
Cf. Snell,
C
In his § 1983 claim against Gray-bill, ■ Scott alleges the psychiatrist based the certification for short-term involuntary treatment on a knowingly erroneous diagnosis. Treating Graybill’s motion to dismiss as a motion for summary judgment, the district court held that Scott stated a cognizable § 1983 claim based on the alleged wrongful deprivation of his liberty for the forty-one days he was involuntarily committed, but had failed to overcome the defense of qualified immunity because Graybill’s actions were objectively reasonable. 7
This Court reviews “the presence or absence of qualified immunity de novo.”
Pino,
The Due Process Clause prohibits a state from involuntarily committing an individual unless he is a danger to himself or others.
See O’Connor v. Donaldson,
Viewing the evidence in the light most favorable to Scott, Graybill’s diagnosis and certifications were objectively reasonable. Graybill possessed the following information at the time he determined that Scott was gravely disabled and represented a danger to himself and others: the Hern affidavit describing in detail Scott’s threatening behavior; an evaluation conducted by mental health professionals at *911 Boulder Mental Health Center immediately following Scott’s detainment finding interrupted speech, tangential thinking, loose associations, and an intimidating stance towards the interviewer; medical records demonstrating a history of mental illness; Dr. Qwick’s diagnosis of Scott as “[b]ipolar, hypomanic-homicidal” (II Joint Supp.App. at 518); Dr. Levy’s tentative diagnosis of bipolar illness and hypomania, which also noted that more data wаs necessary to determine if Scott was dangerous; and his personal observations. We find that a reasonable person exercising professional judgment in light of this information would have reached the same conclusion as Graybill. Contrary to Scott’s suggestion, Dr. Levy’s diagnosis, though tentative, is consistent with Graybill’s. Similarly, evidence that Scott was permitted to retain sharp objects and receive visitors with limited supervision during Ms time at CMHI and that Graybill subsequently found Scott no longer posed a danger to himself or others has no relevance to the objective reasonableness of his initial determination and therefore fails to create a genuine issue of material'fact.
D
We next address Scott’s appeal from the district court’s denial of his motion to amend his § 1983 claim against Idler. The proffered amendment alleged that Idler willfully, wantonly, and maliciously prepared a report falsely characterizing Scott as prone to abrupt mood swings and provided that report to Hern knowing it “could bolster” Hern’s efforts tо have Scott committed, and that Idler testified falsely during the permanent restraining order hearing. (Appellant’s App. at 38-40.) The district court denied the motion to amend because Scott failed to plead a direct link between Idler’s allegedly false report and a deprivation of his constitutional rights, and Idler’s testimony at the permanent restraining order hearing was protected by absolute immunity.
Both of the district court’s conclusions are correct. A plaintiff must allege factual causation — i.e. “but for” causation — in order to state a claim under § 1983.
See Northington v. Marin,
E
Scott’s final § 1983 сlaim alleges that John arid Jane Does, unnamed police offi *912 cers, violated his constitutional rights by giving his confidential medical records to Hern and/or Newell without his consent. The district court dismissed without prejudice these claims because Scott had failed to identify or serve these defendants. While this order is characterized as a dismissal for failure to prosecute, implicitly invoking Fed.R.Civ.P. 41(b), we construe it as falling under the more precisely applicable Fed.R.Civ.P. 4(m), which authorizes dismissal without prejudice for failure to effect service within 120 days after the filing of the complaint.
We review for abuse of discretion a district court’s dismissal for failure to effect service. See
Espinoza v. United States,
The preliminary inquiry to be made under Rule 4(m) is whether the plaintiff has shown good cause for the failure to timely effect service.... If good cause is shown, the plaintiff is entitled to a mandatory extension of time. If the plaintiff fails to show good cause, the district сourt must still consider whether a permissive extension of time may be warranted. At that point the district court may in its discretion either dismiss the case without prejudice or extend the time for service.
Id. at 841.
The record before us on this matter is limited to Scott’s complaint, which was filed on December 17, 1996, and the district court docket sheet. From the docket sheet, we discern that on March 18, 1997, 120 days after Scott filed his complaint, the district court issued an order to show cause why his action should not be dismissed as to Jane and John Does. Scott filed two responses to this order. The next docket entry concerning the matter is the district court’s June 23, 1998, order to dismiss without prejudice. Based on this limited record, it appears the district court made a preliminary inquiry into whether Scott had good cause for the failure to effect service. The record is wholly insufficient, however, to permit us to review the district court’s implicit finding that Scott failed to show good cause because we have no way of knowing the grounds for cause asserted by Sсott below. Where the record is insufficient to permit review we must affirm.
See Deines v. Vermeer Mfg. Co.,
In the alternative, we reject the grounds for cause asserted on appeal. Scott alleges that because discovery was stayed pending the resolution of the named parties’ motions to dismiss, he never had an opportunity to identify the police officers in question. Even if that argument was properly preserved, it fails to establish cause. In fact, on June 26, 1997, the district court ordered discovery to commence on the question of how the medical records were obtained. Therefore, Scott had nearly an entire year of discovery before the district court dismissed this claim.
Ill
In addition to his § 1983 claims, Scott brought state law claims of outrageous conduct and false imprisonment against Hern, Rundus, and Graybill, abuse of process against Hern, and invasion of privacy against Hern аnd Newell.
A
The district court dismissed Scott’s outrageous conduct claim against Hern, Graybill, and Rundus based on its conclusion that, even if all of the facts alleged in the complaint were true, as a matter of law the defendants’ conduct *913 failed to rise to the required level of outra-geousness under Colorado law. 8
“Liability for outrageous conduct exists where the conduct has been so outrageous in character, and so extreme in degree, as to go beyond all possible bounds of decency, and to be regarded as atrocious, and utterly intolerable in a civilized society.”
Bauer v. Southwest Denver Mental Health,
B
Asserting that the First Amendment right to petition protects anyone who invokes the aid of the government through an established judicial prоcess such as civil commitment proceedings, the district court granted Hern summary judgment on Scott’s claims of abuse of process and false imprisonment. In reaching that conclusion, the court relied on the
Noerr-Pennington
doctrine, which provides immunity from antitrust liability for petitions to the courts, provided those petitions are objectively reasonable.
See Professional Real Estate Investors, Inc. v. Columbia Pictures Indus.,
Inc.,
After the district court entered its judgment and during our review on appeal, this Court handed down its decision in
Cardtoons v. Major League Baseball Players Association,
Seen through the lens of
Cardtoons,
the issue before us is whether tort liability for abuse of process or false imprisonment would infringe or chill Hern’s First Amendment right to petition the courts for redress of grievances. As the District of Columbia Circuit has stated, “it is hard to see any reason why, as an abstract matter, ... common law torts ... might not in some of their applications be found to violate the First Amendment.”
Whelan v. Abell,
*915
We need not delineate the precise limits the Petition Clause places on tort liability, however, because in the instant case, as in
Whelan,
“there does not appear to be even a potential for collision between the common law tort[s at issue] and the First Amendment.”
Whelan,
when, as here, a plaintiff sues another for alleged misuse or abuse of the administrative or judicial processes of government, and the defendant files a motion to dismiss by reason of the constitutional right to petition, the plaintiff must make a sufficient showing to permit the court to reasonably conclude that the defendant’s petitioning activi-’ ties were not immunized from liability under the First Amendment because: (1) the defendant’s administrative-or judicial claims were devoid of reasonable factual support, or, if so supportable, lacked any cognizable basis in law for them assertion; and (2) the primary purpose of the defendant’s petitioning activity was to harass the plaintiff or to effectuate some other improper objective; and (3) the defendant’s petitioning activity had the capacity to adversely affect a legal interest of the plaintiff.
Id. at 1369.
Scott has failed to make a sufficient showing that Hern’s affidavit in support of the petition for seventy-two-hour treatment and evaluation was devoid of factual support or lacked any cognizable basis in law. As discussed,
see supra
Section III.A, even if all of the information Scott alleges Hern knew or should have known was false was redacted from the affidavit, the affidavit nonetheless would provide a reasonable factual basis for seeking Scott’s involuntary commitment pursuant to Colo. Rev.Stat. § 27-10-105(l)(b). Because Scott has failed to satisfy the standard set forth in
Protect Our Mountain Environment,
With respect to the second tort claim at issue, “[f]alse imprisonment is an unlawful restraint upon a person’s freedom of locomotion, or the right to come and go when or where one may choose.”
Blackman v. Rifkin,
This requirement effectively prevents any infringement on or chilling of Hern’s First Amendment rights by the instant action. Viewing the evidence in the light most favorable to Scott, we conclude that there is no genuine issue of material fact as to whether the involuntary commitment of Scott was “an unlawful restraint upon [his] freedom of locomotion.”
Blackman,
C
The district court also dismissed Scott’s false imprisonment claims against Rundus, and Graybill, although for different reasons. We address each in turn.
Finding Graybill’s certification for short-term commitment objectively reasonable and authorized by state law, the district court granted summary judgment in favor of Graybill. Graybill diagnosed Scott pursuant to court order, and, viewing the evidence in the light most favorable to Scott, his diagnosis was objectively reasonable.
See supra
Section II.C. Because Graybill's acts were lawful, the district court properly dismissed the claim of false imprisonment.
See Blackman,
The district court’s denial of Scott’s motion to amend his false imprisonment claim against Rundus was improvident.
See Grossman,
In the instant case, Scott’s second amended complaint asserted that Rundus’s improper actions in the prosecution of the civil commitment proceeding were willful and wanton. Given the tension between
Brace
and
Moody
as to the propriety of determining the adequacy of allegations of willful and wanton conduct at the motion to dismiss stage, we are reluctant to determine as a matter of law whether the facts alleged in Scott’s complaint support his assertion of willful and wanton conduct. We therefore affirm on an alternative ground.
See Griess v. State of Colorado,
State prosecutors are “absolutely immune for their actions in initiating a. prosecution.”
Stepanek v. Delta County,
D
Scott’s final state law claim alleged that Newell and Hern “conspired to unreasonably intrude upon [his] private affairs ... by unlawfully procuring and using his confidential medical records without his consent in a manner which would be highly offensive to a reasonable person.” ( Appellant’s App. at 95.) The district court dismissed without prejudice this claim for failure to allege publication, which the court stated was a necessary element of the tort of invasion of privacy in ColoradQ.
The Colorado Supreme Court has recognized, generally, a tort claim for invasion of privаcy,
see Rugg,
Even assuming the Colorado Supreme Court would recognize a claim for invasion of privacy in the nature of unreasonable intrusion upon the seclusion of another,
see Borquez,
Once again exercising our authority to “affirm a district court decision on any grounds for which there is a record sufficient to permit conclusions of law, even grounds not relied upon by the district court,”
Griess,
IV
Appellant’s motion to strike appellee’s response briefs is DENIED. The judgment of the district court is AFFIRMED.
Notes
. The district court treated Hem's motion to dismiss for failure to state a claim as a motion for summary judgment pursuant to Fed. R.Civ.P. 12(c). Scott does not challenge that treatment of the motion.
. The Supreme Court has applied various tests to determine if the conduct of a private individual is state action.
See Gallagher v. "Neil Young Freedom Concert’’,
. Scott's attempt to establish that Hem was a state actor under the joint action theory is equally unavailing.
See Lee v. Estes Park,
. In both his complaint and second amended complaint, Scott alleges Newell “conspired with police officers to obtain and use information of confidential medical records of the plaintiff to support his report or reports to defendant Hern.” (I J. Supp.App. at 25 (Complaint); Appellant's App. at 88 (Second Amended Complaint)). On appeal, however, Scott wholly fails to raise the argument that this conspiracy provides the requisite state action for his § 1983 claim against Newell, and therefore any such argument is waived.
See Hernandez v. Starbuck,
. Because Scott did not allege in his second amended complaint, as he now does in his appellate brief that Rundus’s witness list contained false information, we decline to review the merits of that claim.
See Sac & Fox Nation v. Hanson,
. On appeal, Scott argues that Rundus is not entitled to absolute immunity because she failed to perform her non-discretionaiy duty under Colo. R. Civ. P. 11 to conduct a reasonable inquiry into the legal and factual basis of the petition for a seventy-two-hour evaluation. As discussed, however, "in determining whether the functions of ... prosecutors are entitled to absolute immunity,” we focus on a function’s proximity to the judicial process, not whether it is discretionary.
Buckley v. Fitzsimmons,
. We do not review the district court's related determination that Scott failed to adequately allege á deprivation of ' his rights to. free speech, exercise of religion, or equal protection. While Scott has appealed that ruling, his brief is entirely void of citations to the record or relevant case law to support his conclusory argument that such constitutional violations occurred.
See National Commodity & Barter Ass’n v. Gibbs,
. Specifically, the district court granted Run-dus’s motion to dismiss for fаilure to state a claim upon which relief can be granted, converted Hern’s motion to dismiss to a motion for summary judgment, which it then granted, and then denied Scott’s motion to amend his complaint with respect to Hem, Rundus, and Graybill. Contrary to the district court's assertion in its order denying the motion to amend, it never dismissed the outrageous conduct claim against Graybill at the earlier time. Rather, that claim was withdrawn voluntarily. Such an error is harmless, however, when the record contains an apparent reason justifying the denial of the motion to amend. See
Long v. United States,
. The proposition that the Petition Clause can place limits on tort liability is not foreclosed by the statement in
Cardtoons,
. This allegation is incorporated by reference into the section of Scott’s complaint setting forth the invasion of privacy claim.
