COURT COUNTY OFOrder Requesting Clinical Information(Rev. 11/19/03) CCJP 0006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.STATE OF ILLINOIS COUNTY OF COOKCalendar No. 4389} ss:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION CHILD PROTECTION DIVISIONIN THE INTEREST OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .NO. Minor(s)}THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:ORDER REQUEST FOR CLINICAL INFORMATIONWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,THIS CAUSE coming to be heard before the Honorable Judge, the parties being present or beinglocated at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomrepresented by Counsel, and the Court being fully advised in the premises;IT IS HEREBY ORDERED: This case is referred to the Cook County Juvenile Court Clinic for a response consistent with theYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theattached Request for Clinical Information-Child Protection Division.Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressDATED:, ENTERED: JUDGEJUDGE'S NO.Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOISAmerican LegalNet, Inc. www.USCourtForms.com