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Order Denying Petition (To Authorize Physician To Perform Abortion) - Arizona
| Order Denying Petition (To Authorize Physician To Perform Abortion) Form. This is a Arizona form and can be used in Abortion Statewide . |
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SUPERIOR COURT OF ARIZONA _________________ COUNTY ) ) ___________________________, ) a minor ) [Use fictitious name if petitioner ) has so requested] ) ___________________________________ ) IN THE MATTER OF: CASE NO. _____________________ ORDER DENYING PETITION A hearing was held on a Petition to Authorize Physician to Perform Abortion on this ___ day of ___________, 20___. The petitioner was present. The record was kept by __________________. The name of the court reporter, if applicable, is __________________________________. The petitioner was sworn and testified. Based on the evidence presented, THE COURT FINDS AS FOLLOWS: 1. 2. _________________was appointed by the court to act as guardian ad litem for petitioner. ____ The petitioner was represented by an attorney,________________________, who was present at the hearing; OR ____ The petitioner was advised of her right to court-appointed counsel and has knowingly and intelligently waived her right to counsel. 3. The health or life of the petitioner is not threatened by the pregnancy or carrying the fetus to term. The petitioner is not mature, is incapable of giving informed consent to the proposed abortion, and it is not in the petitioner's best interests to have the proposed abortion without consent from one of her parents or her guardian or conservator for the following reasons: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 07.25.2012 4. American LegalNet, Inc. www.FormsWorkFlow.com Case No: _____________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ THE COURT THEREFORE CONCLUDES AND ORDERS: 1. 2. 3. The requirements of A.R.S. ยง 36-2152(B) have not been met. The petition is denied. The clerk of the court shall forthwith provide petitioner or her attorney with a copy of this order and, if an appeal is filed, the record in this matter at no cost. No member of the public shall inspect or obtain access to copies of this order or any other documents or records relating to this matter without the consent of the petitioner. The record and evidence in this matter shall remain sealed and confidential. No minute entry shall issue. The Court has advised the petitioner and her attorney of the right to appeal. 4. 5. 6. DATE: _______________ ____________________________________ Judge of the Superior Court 07.25.12 2 American LegalNet, Inc. www.FormsWorkFlow.com Case No: _____________________________ A copy hereof was hand-delivered/mailed to petitioner/petitioner's attorney, this __ day of _______, 20___. ______________________________ Mailed/hand-delivered to guardian ad litem on _______________, 20___. _____________________________ 07.25.12 3 American LegalNet, Inc. www.FormsWorkFlow.com
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