CR-273, 08/12 Order for Supplementary Mental Examination (Not Guilty by Reason of Mental Disease or Defect) 24724751.30(1)(b), 146.82(2)(c), and 971.17(2), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY State of Wisconsin, Plaintiff - vs - Date of Birth Order for Supplementary Mental Examination (Not Guilty by Reason of Mental Disease or Defect) Case No. Present Location (Include municipality and county) THE COURT FINDS: 1. The defendant was committed to the Department of Health Services (DHS) on [D ate ] . A copy of the Order of Commitment is attached. 2. The court lacks sufficient information to determine whether the commitment should be for institutional care or conditional release. THE COURT ORDERS: 1. A supplementary mental examination be conducted by A. Department of Health Services. The sheriff shall arrange for transportation of the defendant to the examining facility within 48 hours after notification; return the defendant to the jail within 48 hours, after receiving notice from the examining facility that the examination has been completed. OR B. Other examiner: The defendant shall be examined on [D ate ] , at [T ime ] a.m. p.m. at [L ocation ] OR schedule an appointment with the examiner within 24 hours of the date of this order. The clerk to attach a copy of the commitment order with its attachments. The cost of the examination be paid by . 2. 3. The examination be completed and a report filed within 15 days from the date of this order . 4. A hearing be held on [Date] at [Time] a.m. p.m . Additional information or conce rns, if any: THIS IS A FINAL ORDER FOR THE PURPOSE OF APPEAL IF SIGNED BY A CIRCUIT COURT JUDGE. DISTRIBUTION: 1. Court 2. District Attorney 3. Defendant/Attorney 4. Department of Health Services or examiners American LegalNet, Inc. www.FormsWorkFlow.com