STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE SECOND JUDICIAL CIRCUIT ___________ COUNTY Case No. _________ In The Interest Of ______________________________________________, a minor. Date of hearing: ___________________ Parties present for hearing: Assistant States Attorney: _____________________________ Minor: _____________________________ Attorney for minor: ______________________________ Mother:_____________________________ Attorney for mother: ______________________________ Father:______________________________ Attorney for father: ______________________________ Relative, Guardian, Custodian: ______________________________________________________________ SUPPLEMENTAL ORDER THIS ORDER is entered to supplement the G T emporary Custody Order G Adju dicatory Order G Dispositional Order G _______________________________ previously entered in this matter. IT IS THE ORDER of this Court that: VISITATION G 1. The parents establish and maintain a regular course of visitation with the minor(s), attending each visit scheduled with the minor(s) unless such attendance is impossible. G a. All contact by the: G mother(s) ________________________________________________________________ G father(s) _________________________________________________________________ is to be directly and immediately supervised by: G the Department of Children and Family Services G a responsible agency designated by the Department of Children and Family Services G by a responsible individual designated by the Department of Children and Family Services \jeri\cirwide\cirwide 2\suppleml entajuvenile order 65 7/11/03 >>>> 2 The parents are not to have nor attempt to have contact of any kind with the minor(s) that is not so supervised. G b. Visitation maybe unsupervised up to ________ hours in every ______ day period. However, the parents are not to attempt to have any contact with the minor(s) which is not authorized by the Department of Children and Family Services or its designee G c. Visitation may be supervised or unsupervised as determined by the Department of Children and Family Services. G d. During visitation with the minor(s), thGe mother(s) G father(s) is(are) to allow no contact of any kind by______________________________ with the minor(s). G 2. Immediately notifyG the Department of Children and Family ServicesG __ ____________________ of any transportation or scheduling problems which interfere withthe ab ility of the parent to attend visits, services or employment. EVALUATIONS G 3. Within the next 60 days, G mother(s) _______________________________________________________________________________ G father(s) _______________________________________________________________________________ G minor(s) _______________________________________________________________________________ is (are) to cooperate fully and truthfully with and complete: G psychological evaluation G psychiatric evaluation G alcohol/drug usage evaluation to be conducted by an agency or individual designated Gby th e Department of Children and Family Services G ____________________________________________________________ and is(are) to immediately undertake, engage in, and successfully complete any course ounseling, eof c ducation or treatment recommended as a result of such evaluation(s). Written proof of such completion is to be provided tGo t he Department of Children and Family Services G ________________________________________________. COUNSELING AND COUNTERMEASURES G 4. G The mother(s) ___________________________________________________________________________ G The father(s)____________________________________________________________________________ G The minor(s) ____________________________________________________________________________ G Other(s) ________________________________________________________________________________ is(are) to successfully complete any course of coulinnseg including marital, couples, individual and family counseling and any course of education including one addressing domestic violence and sexual abuse recommended by the Department of Children and Family Services or an individual or agency designated by the Department of Children and Family Services. Written proof of such completion is to be providedG to t h e Department of Children and Family ServicesG _________________________________________. \jeri\cirwide\cirwide 2\suppleml entajuvenile order 65 7/11/03 >>>> 3 G 5. G The mother(s) ___________________________________________________________________________ G The father(s) ____________________________________________________________________________ G The minor(s) ____________________________________________________________________________ G Other(s) ________________________________________________________________________________ is(are) to cooperate completely with any course thoeraf py, counseling, and treatment recommended by a physician, dentist, optometrist, ophthalmologist, psychologist, caseworker or counselor designated byG the Department of Children and Family Services G ___ _____________________________________ for the minor(s). G 6. G The mother(s) ___________________________________________________________________________ G The father(s) ____________________________________________________________________________ G The minor(s) ____________________________________________________________________________ G Other(s) ________________________________________________________________________________ is(are) to refrain completely from the use of all mood or mind altering substances including alcohol, cannabis, and controlled substances with the exception of medication prescribed bylicen a sed physician and then only in such dosages as prescribed. Said persons) is(are) to submit to testing of blood, breath, and urine upon request by G the Department of Children and Family Services G ___________________________________ and unless financially unable, is(are) to pay the costs of such testing. G 7. G The mother(s) ___________________________________________________________________________ G The father(s) ____________________________________________________________________________ G The minor(s) ____________________________________________________________________________ G Other(s) ________________________________________________________________________________ is(are) to sign all authorizations for release of information requestedG b tyh e Depa