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Division of Planning, Research & Forensics

Forensic and Juvenile Court Services Forms and Documents

Court Orders and Forms

MH5212
Order Approving Mandatory Outpatient Treatment (MOT) Plan citing T.C.A.
§33-6-604

MH5224
Order Approving Mandatory Outpatient Treatment (MOT) Plan citing T.C.A.
§33-7-303(b)

MH5266
Order Directing Forensic Evaluation by the CMHC Under T.C.A.
§33-7-301(a)

MH5267
Order Directing Forensic Evaluation by the RMHI Under T.C.A.
§33-7-301(a)

MH5268
Order Directing Inpatient Forensic Evaluation of Defendant in TDOC (Dept of Correction) Custody

MH5269
Order Directing Judicial Hospitalization at an RMHI Under T.C.A. §33-7-303(c)

MH5270
Order Directing Judicial Forensic Hospitalization At An RMHI Under T.C.A. §33-7-301(b)

MH5271
Order Directing Judicial Hospitalization At the Forensics Services Unit Under T.C.A. §33-7-303(c)

MH5272
Order Directing Judicial Forensic Hospitalization at the Forensics Services Unit of MTMHI Under T.C.A. §33-7-301(b) and § Title 33, Chapter 6, Part 5

MH5273
Order Directing Evaluation of Insanity Acquittee by CMHC Under T.C.A. §33-7-303(a)

MH5275
Order Directing Community Based Services To Be Provided by the Mental Health Center Under T.C.A.
§33-7-401

MH5428
Order For Outpatient Evaluation of a Child Under T.C.A. §37-1-128(e)(1)

MH5278
Order For Inpatient Evaluation of a Child Under T.C.A. §37-1-128(e)(1) and Non-custodial Assessment by DCS

MH5279
Order Continuing Judicial Commitment Following Dismissal of Charges

MH5311
Order Appointing Foreign Language Interpreter

MH5312
Order Directing Post-conviction Evaluation under T.C.A. §37-7-301(a)(4)

MH5427
Order Directing Outpatient Forensic Evaluation of Defendant in TDOC (Department of Correction) Custody

MH5429
Order Directing Post-Conviction Evaluation of a Capital Defendant by a CMHC Under T.C.A. §33-7-301(a)(4)

MH5430
Order Directing Post-Conviction Evaluation of a Capital Defendant At An RMHI Under T.C.A. §33-7-301(a)(4)

Forms

MH5256 - Forensic & Juvenile Services - Invoice Summary

MH5255 - Juvenile Forensics Services Invoice

MH5257 - Inpatient Juvenile Services Invoice

MH5259 - Adult Forensics Services Invoice

MH5258 - Inpatient Facility Juvenile Data Report

MH5253 - Referral for Inpatient Forensic Evaluation

MH5263 - TDMHSAS Outpatient Agency Forensic Data Report

MH5260 - Recommendations for Continued Services

MH5261 - Juvenile Services Team Meeting Progress Note

MH5262 - Juvenile Intake Report

MH5265 - Level III and Level IV Competency Training / Maintenance Progress Report

MH5280 - RMHI Forensic Team Meeting Progress Note

MH5281 - RMHI Forensic Intake Report

MH5282 - Pre-authorization Request for Forensic Community Services

MH5283 - Forensic Discharge Summary

MH5284 - Inpatient Forensic Data Report

MH5285 - 30-60 Day NGRI Checklist

MH5286 - Release Checklist for NGRIs Committed Pursuant to T.C.A. §33-7-303(c)

MH5287 - TDMH Dynamic Risk Assessment Checklist (RAC)

MHvrag - Violence Risk Assessment Guide / Sexual Offender Risk Appraisal Guide
(VRAG / SORAG)

Law and Policy, Procedures
Forensic Community-Based Services Policy

Title 33, Chapter 6, Part 6 & TCA (Civil MOT) Procedures

Emergency Transfer from an RMHI to FSP Policy and Procedure

Non-Emergency Transfer from and RMHI to FSP Policy and Procedure

Transfer from FSP to RMHI

Resources

NEW Risk Factors for Aggression

Classification of the Revised Criminal Code 2010 (Felony & Misdemeanor List)

Forensic & Juvenile Court Services Links