AOC-261.1 8-97 Doc. Code: OGAB Commonwealth of Kentucky Court of Justice KRS 311.732 Case No._____________________ Court_________________________ ORDER GRANTING 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: (choose one) ( ) that the petitioner is mature and well-informed enough to make the abortion decision on her own as demonstrated by: _____________________________________________________________________________________ ________________________________________________________________________________________ or ( ) that the performance of the abortion is in the petitioner's best interest as demonstrated by: ________________ ________________________________________________________________________________________ ________________________________________________________________________________________. Based on the above findings of fact, IT IS HEREBY ORDERED: That the petitioner be GRANTED the right for self-consent for an abortion by a minor. 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.