AOC-SP-306 — Order for Psychiatric Evaluation Prior to Commitment Hearing

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01 ATTORNEY / ORDER PREPARER INFORMATION

Attorney Name *

State Bar No.

Firm / Office Name

Address

Phone

Representing

02 RESPONDENT & CASE INFORMATION

Respondent Full Name *

Case / File Number *

County *

Commitment Hearing Date *

03 EXAMINING PROFESSIONAL

Examiner Type *

Examiner Name (if known)

Examiner / Facility *

Examiner Phone

04 EVALUATION PARAMETERS

Time Allotted for Evaluation *

Evaluation Report Due Date *

Specific Issues for the Evaluator to Address *

Current psychiatric diagnosis, if any

Whether respondent is mentally ill and dangerous to self or others

Treatment recommendations (type, duration, setting)

Least restrictive appropriate treatment setting

Whether respondent has capacity to consent to voluntary treatment

Role of substance use in current presentation

Additional Specific Issues for the Evaluator:

05 ORDER DATE AND JUDGE / CLERK SIGNATURE LINE

This order must be signed by the presiding judge or court clerk. The generated PDF includes a signature line for the court. The order authorizes an independent evaluation in addition to any facility evaluation already completed.

Order Date *

Judge / Clerk Name (if known)

SELECTED COUNTY

— Select above —

PURPOSE OF THIS ORDER

Court-ordered independent clinical assessment before commitment hearing
Evaluator reports findings to court — not binding on the judge
Respondent's voluntary admission during evaluation does not moot the hearing
Respondent has right to independent evaluation at own expense
Evaluator must be a licensed physician, psychologist, or clinical social worker

WHAT EVALUATOR MUST REPORT

Whether respondent has a mental illness
Whether respondent is dangerous to self or others
Appropriate level of care (inpatient vs. outpatient)
Treatment recommendations
Report submitted to court before hearing

STATUTORY REFERENCE

G.S. 122C-264Examination by physician

G.S. 122C-265Evaluation report required

G.S. 122C-266Hearing procedure

G.S. 122C-268(d)Independent evaluation right

NEED AN ATTORNEY?

Barker Richardson, PLLC handles IVC/OPC hearings and evaluation proceedings across North Carolina.

CONTACT BARKER RICHARDSON →

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