Request And Order For Multidisciplinary Evaluation {SP-901M} | Pdf Fpdf Doc Docx | North Carolina

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Request And Order For Multidisciplinary Evaluation {SP-901M} | Pdf Fpdf Doc Docx | North Carolina

Request And Order For Multidisciplinary Evaluation {SP-901M}

This is a North Carolina form that can be used for Special Proceedings within Statewide.

Alternate TextLast updated: 7/17/2006

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File No. STATE OF NORTH CAROLINA In The General Court Of Justice Superior Court Division County Before the Clerk IN THE MATTER OF: Name Of Respondent REQUEST AND ORDER FOR MULTIDISCIPLINARY EVALUATION Social Security No. Of Respondent G.S. 35A-1111(a), (b)Name And Address Of Counsel Or GAL For Respondent Name And Address Of Petitioner In Incompetency Proceeding 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 be 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. Name And Address Of Designated Agency Date Signature Assistant CSC Clerk of Superior Court AOC-SP-901M, Rev. 5/96 1997 Administrative Office of the Courts Original-File Copy-Agency

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