Request And Order For Multidisciplinary Evaluation Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Request And Order For Multidisciplinary Evaluation Form. This is a North Carolina form and can be use in Special Proceedings Statewide.
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Tags: Request And Order For Multidisciplinary Evaluation, SP-901M, North Carolina Statewide, Special Proceedings
File No.
STATE OF NORTH CAROLINA
In The General Court Of Justice
Superior Court Division
Before the Clerk
County
IN THE MATTER OF:
Name Of Respondent
REQUEST AND ORDER
FOR
MULTIDISCIPLINARY EVALUATION
Social Security No. Of Respondent (Last Four Digits Only)
G.S. 35A-1111(a), (b)
Name And Address Of Petitioner In Incompetency Proceeding
Name And Address Of Counsel Or GAL For Respondent
REQUEST
I, the undersigned, request that the Court order a multidisciplinary evaluation be performed on the respondent named
above.
Name And Address Of Party Requesting Evaluation
Date
Signature
FINDINGS
The Court finds
in accordance with the above request
OR
on its own motion
that a multidisciplinary evaluation
should
should not
be performed on the respondent.
ORDER
Based on these findings
the request for multidisciplinary evaluation is denied.
it is ORDERED that the following agency shall prepare and provide a current multidisciplinary evaluation of
the respondent. The agency shall file the evaluation with the Clerk, and send copies to the petitioner and the counsel
or guardian ad litem for the respondent not later than thirty (30) days after receipt of this order.
Date
Name And Address Of Designated Agency
Signature
Assistant CSC
AOC-SP-901M, Rev. 7/06
© 2006 Administrative Office of the Courts
Original-File
Clerk of Superior Court
Copy-Agency
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