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Petition To Authorize Physician To Perform Abortion - Arizona

Petition To Authorize Physician To Perform Abortion Form. This is a Arizona form and can be used in Abortion Statewide .
 Fillable pdf Last Modified 8/27/2012
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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. _____________________ NOTICE OF HEARING 1. 2. 3. 4. 5. Your hearing date is: ________________________________________________ The location of your hearing is: _______________________________________ The time of your hearing is: __________________________________________ Your hearing judge is: _______________________________________________ Your guardian ad litem is: ____________________________________________ Address:__________________________________________________________ __________________________________________________________________ Phone Number:_____________________________________________________ Your attorney is (if applicable):________________________________________ Address:__________________________________________________________ _________________________________________________________________ Phone Number:_____________________________________________________ 6. 07.25.2012 American LegalNet, Inc. www.FormsWorkFlow.com Case No: _____________________________ You are advised that failure to appear at the hearing at the time and date above may result in the denial of your petition. DATE: ________________ ___________________________________ Deputy Clerk Mailed/hand-delivered to petitioner/petitioner's attorney on _______________, 20___. ______________________________ Mailed/hand-delivered to guardian ad litem on _______________, 20___. _____________________________ 07.25.2012 American LegalNet, Inc. www.FormsWorkFlow.com
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