Form 10-743. Order for diagnostic evaluation.

[For use with Sections 32A-2-17(B) and 32A-2-21(A) NMSA 1978] STATE OF NEW MEXICO COUNTY OF _______________ _______________ JUDICIAL DISTRICT IN THE CHILDREN’S COURT In the Matter of _____________, a Child. No. __________ ORDER FOR DIAGNOSTIC EVALUATION This matter came before the court on the motion of ________________________, and after being fully advised, the court ORDERS as follows: 1. A diagnostic evaluation of the child shall be performed by __________________ ______________________________________________________________________ __________________________________ (insert name and address of a master level clinician who will perform the evaluation with independently licensed master or doctoral level oversight)1; the report shall, at a minimum, contain a current description of the child, including behavioral health diagnoses (if any) and the present level of functioning, and recommended course of action regarding treatment and rehabilitation. 2. Defense counsel shall cause this order to be served so that it is received by the evaluator no later than five (5) days from the date of entry of this order and shall file with the court a certificate of service. 3. Child is in detention at ______________________________________________ ______________________________________________________________________ or Child’s address and telephone number are _________________________________ _____________________________________________________________________. 4. If the evaluator is unable to contact the child, the evaluator shall immediately contact defense counsel, who will contact the child and set up the evaluation or notify the court that the evaluator cannot contact the child. 5. A copy of the evaluation report shall be sent to defense counsel [ ] within fifteen (15) days of the date of receipt of this order if the child is in custody. [ ] within thirty (30) days of the date of receipt of this order if the child is not in custody. 6. If the child needs to be transported to effect the evaluation, a separate transport order needs to be obtained. 7. Defense counsel shall file a certificate of service with the court showing the date the evaluation report was received. ______________________________ DISTRICT JUDGE _____________________________ Children’s Court Attorney _____________________________ Attorney for Child