State of Alabama Unified Judicial System Form CR-33 (front) Rev.5/2000 ORDER FOR OUT-PATIENT EVALUATION OF DEFENDANT'S COMPETENCY TO STAND TRAIL AND MENTAL STATE AT THE TIME OF THE OFFENSE Case Number IN THE CIRCUIT COURT OF__________________________________________________________________, ALABAMA (Name of County) STATE OF ALABAMA v. ______________________________________________________________________ Defendant WHEREAS, the above-named defendant is before the court, having been charged with the offenses(s) of__________ ________________________________________________________________________________________; and whereas the court has received information indicating that the above-named defendant may lack with the offenses(s) of ___________ the court has received information indicating that the above-named defendant may lack sufficient present ability to assist in his or her defense, by consulting with counsel, with a reasonable degree of rational understanding of the facts and the legal proceedings against the defendant (motion for examination having been filed by ___________________________________) ________________, and the court finding reasonable grounds exist to question the defendant's competency, to-wit_______; and whereas the defendant, through his/her attorney,_________________________________________________________, has timely filed a notice pursuant to Rule 15, Alabama Rules of Criminal Procedure, of his/her intent to pursue a special plea of not guilty by reason of medical disease or defect or not guilty and not guilty by reason of mental disease or defect. IT IS HEREBY ORDERED that: (1) The defendant shall undergo examination on an out-patient basis by a psychiatrist or psychologist under contract with or employed by the Alabama Department of Mental Health and Mental Retardation to conduct a clinical evaluation pertaining to the defendant's sufficient present ability to assist in his or her defense, by consulting with counsel, with a reasonable degree of rational understanding of the facts and the legal proceedings pending before the court, and mental state at the time of the alleged offense(s); (2) If the defendant is in custody, the person who has custody of the defendant shall make the defendant available at such times and locations as required by the Alabama Department of mental Health and Mental Retardation, and, where necessary, the Sheriff's Department shall be responsible for the custody, care, and transportation of the defendant during the out-patient visit; (3) The district attorney shall make available to the examining psychologist/psychiatrist information concerning the nature and circumstances of the offense(s) charged, as well as the prior criminal history of the defendant. The defense attorney may provide such information as may be in his/her possession to assist the examining psychiatrist/psychologist in the evaluation of the defendant's mental condition, including records of prior psychiatric treatment. All information provided to the psychologist or psychiatrist pursuant to this order shall be protected from discovery according to Rule 16, Alabama Rules of Criminal Procedure; (4) Upon completion of the clinical examination, copies of the written report shall be forwarded to the circuit judge, the defendant's attorney, the district attorney, and, upon further order of the court, to others having a proper interest therein. The original written report shall be filed with the clerk of court, under seal, and shall contain the following information: (a) The mental condition of the defendant as related to his/her sufficient present ability to assist in his/her defense, by consulting with counsel, with a reasonable degree of rational understanding of the facts and the legal proceedings against the defendant. (b) If it is the opinion of the psychologist or psychiatrist that the defendant lacks sufficient present ability to assist in his/her defense, by consulting with counsel, with a reasonable degree of rational understanding of the facts and the legal proceedings against the defendant, the report shall also state the opinion of the psychologist or psychiatrist as to: (1) The condition causing the defendant's incompetency and the nature thereof; (2) The treatment required for the defendant to attain competency; (3) The most appropriate form and place of treatment in view of the defendant's therapeutic needs and potential Defense Attorney District Attorney Sheriff Dept. of Mental Health/Mental Retardation/Designated Regional Outpatient Program of DMHMR American LegalNet, Inc. www.USCourtForms.com From CR-33 (back) Rev. 5/00 ORDER FOR OUT-PATIENT EVALUATION OF DEFENDANT'S COMPETENCY TO STAND TRAIL AND MENTAL STATE AT THE TIME OF THE OFFENSE danger to himself or herself, or to others, and an explanation of appropriate treatment alternatives; (4) The likelihood of the defendant's attaining competency under treatment and the probable duration of the treatment. (5) The availability of the various types of acceptable treatment in the local geographic area, specifying the agencies or the settings in which the treatment might be obtained and whether the treatment would be available on an out-patient basis; and (6) _____________________________________________________________________________________ _____________________________________________________________________________________ (List here such other matters the court deems appropriate) (5) The written report shall further address: (a) The mental condition of the defendant at the time of the alleged offense(s); (b) If it is the opinion of the psychologist or psychiatrist that at the time of the alleged offense(s), the defendant suffered from a mental disease or defect, the relation, if any, of such mental disease or defect to the alleged offense(s). (c) ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ (List here such other matters the court deems appropriate) (6) Further criminal proceedings against the defendant