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Order Denying Petition (To Authorize Physician To Perform Abortion) Form. This is a Arizona form and can be use in Abortion Statewide.
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Tags: Order Denying Petition (To Authorize Physician To Perform Abortion), Arizona Statewide, Abortion
SUPERIOR COURT OF ARIZONA
_________________ COUNTY
IN THE MATTER OF:
)
)
___________________________,
)
a minor
)
[Use fictitious name if petitioner
)
has so requested]
)
___________________________________ )
CASE NO. _____________________
ORDER DENYING PETITION
A hearing was held on a Petition to Authorize Physician to Perform Abortion on this ___ day
of ___________, 20___. The petitioner was present. The record was kept by __________________.
The name of the court reporter, if applicable, is __________________________________. The
petitioner was sworn and testified.
Based on the evidence presented, THE COURT FINDS AS FOLLOWS:
1.
_________________was appointed by the court to act as guardian ad litem for petitioner.
2.
____ The petitioner was represented by an attorney,________________________, who
was present at the hearing; OR
____ The petitioner was advised of her right to court-appointed counsel and has
knowingly and intelligently waived her right to counsel.
3.
The health or life of the petitioner is not threatened by the pregnancy or carrying the fetus to
term.
4.
The petitioner is not mature, is incapable of giving informed consent to the proposed
abortion, and it is not in the petitioner’s best interests to have the proposed abortion without
consent from one of her parents or her guardian or conservator for the following reasons:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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______________________________________________________________________________
07.25.2012
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Case No: _____________________________
______________________________________________________________________________
______________________________________________________________________________
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______________________________________________________________________________
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THE COURT THEREFORE CONCLUDES AND ORDERS:
1.
The requirements of A.R.S. § 36-2152(B) have not been met.
2.
The petition is denied.
3.
The clerk of the court shall forthwith provide petitioner or her attorney with a copy of this
order and, if an appeal is filed, the record in this matter at no cost.
4.
No member of the public shall inspect or obtain access to copies of this order or any other
documents or records relating to this matter without the consent of the petitioner.
5.
The record and evidence in this matter shall remain sealed and confidential.
6.
No minute entry shall issue.
The Court has advised the petitioner and her attorney of the right to appeal.
DATE: _______________
____________________________________
Judge of the Superior Court
07.25.12
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Case No: _____________________________
A copy hereof was
hand-delivered/mailed
to petitioner/petitioner’s attorney,
this __ day of _______, 20___.
______________________________
Mailed/hand-delivered to
guardian ad litem
on _______________, 20___.
_____________________________
07.25.12
3
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