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COURT CLINIC QUESTIONNAIRE FOR CONSULTATIONS DM/DV# ___ Date Completed ___ In completing this questionnaire, feel free to add additional pages to the questionnaire if needed for your answers. Reference

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Read the instructions carefully before starting to fill out the court clinic questionnaire.

02

Provide accurate and honest information when completing the questionnaire.

03

Fill out each section of the questionnaire thoroughly and to the best of your ability.

04

If you are unsure about any questions, seek clarification from a legal professional or court staff.

05

Double-check your answers before submitting the completed questionnaire.

Who needs court clinic questionnaire for?

01

Individuals who have been referred to the court clinic for assessment.

02

People involved in legal proceedings who require a mental health evaluation.

03

Individuals facing criminal charges and are ordered to complete the questionnaire as part of the court process.

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What is court clinic questionnaire for?

The court clinic questionnaire is used to assess an individual's mental health and evaluate their ability to participate in court proceedings.

Who is required to file court clinic questionnaire for?

Individuals involved in legal proceedings who have been requested by the court to undergo a mental health evaluation may be required to file a court clinic questionnaire.

How to fill out court clinic questionnaire for?

The court clinic questionnaire can be filled out by answering the questions provided and providing any requested information or documentation.

What is the purpose of court clinic questionnaire for?

The purpose of the court clinic questionnaire is to help the court make informed decisions regarding the mental health of individuals involved in legal proceedings.

What information must be reported on court clinic questionnaire for?

The court clinic questionnaire may require information about the individual's mental health history, current symptoms, and any treatment they may be receiving.

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