AOC-261.2 8-97 Doc. Code: ODAB Commonwealth of Kentucky Court of Justice KRS 311.732 Case No._____________________ Court_________________________ ORDER DENYING ABORTION County_______________________ IN RE: SELF-CONSENT FOR AN ABORTION BY A MINOR Petitioner having filed a petition for self-consent for an abortion by a minor, and: ( ) the Court having held a hearing within 72 hours (inclusive of weekends and holidays) from the filing of the petition; or ( ) petitioner having waived the 72 hour requirement; and the Court, in the sole presence of the parties and any witnesses (the appearance of a witness is to be limited to the duration of his/her testimony), having heard evidence at the hearing: 1. relating to the emotional development, maturity, intellect and understanding of the minor; and 2. the nature, possible consequences and alternatives to the abortion; and 3. any other evidence that the Court may find useful in determining whether the minor should be granted majority rights for the purpose of consenting to the abortion or whether the abortion is in the best interest of the minor such as ________________________________________________________________________________________ ________________________________________________________________________________________; the Court makes the following FINDINGS OF FACT: That the petitioner is immature and that performance of the abortion would not be in the petitioner's best interest as demonstrated by: ________________________________________________________________________ ________________________________________________________________________________________. Based on the above findings of fact, IT IS HEREBY ORDERED: That the petitioner be DENIED the right for self-consent for an abortion by a minor. ( ) Petitioner has been advised of her right to an anonymous and expedited appeal to the Court of Appeals, which shall be given precedence over other pending matters. This Court has explained to the petitioner that the appeal procedures begin with the filing of a notice of appeal to the Court of Appeals. A form notice of appeal is available from the clerk of the trial court, if needed. The clerk of the trial court will file the record on appeal in the Court of Appeals within 5 days from the filing of the notice of appeal. The Court of Appeals will render a written decision within 72 hours of the filing of the record on appeal, unless the time period is extended by the petitioner. If the Court of Appeals does not render a decision immediately following hearing the appeal, petitioner is responsible for contacting the clerk of the Court of Appeals for notification of the decision. Pursuant to special rules of the Supreme Court of Kentucky, all information relating to this proceeding shall be confidential, shall not be a public record, and shall not be released to the public. _______________________________________ Date _____________________________________________ Judge 2000 © American LegalNet, Inc.