Fillable Temporary Custody Order Form (Page 3 of 4) in pdf

Based on the findings, the following order are necessary and proper:

The temporary custodian is:

not authorized to consent to major medical care for the minor

authorized to consent to major medical care including surgical needs, psychological

services, optical care and dental services for the minor

authorized to consent to major medical care including surgical needs, psychological

services, optical care and dental services for the minor after consultation with

_____________________________ and in the event the named person cannot be

located without such consent

________________________________________________________________

The Illinois Department of Children and Family Services shall investigate the need for

services and provide the needed services in the following areas:______________________

_______________________________________________________________________

________________________________________________________________________

The parties are advised that the acceptance of services will not be considered an admission

of neglect, abuse or dependency.

The following services are necessary to ameliorate the causes contributing to the finding of

probable cause and immediate and urgent necessity and they are ordered to be provided

_______________________________________________________________________

________________________________________________________________________

Visitation

There is to be no visitation with the minor until further Order of the Court

Supervised visitation with the supervision to be monitored by

the Illinois Department of Children and Family Services or its designee

__________________________________________________________

Unsupervised visitation

There is no requirement that the agency provide transportation for the purpose of

visitation.

The agency is to provide transportation for the purpose of visitation.

Visitation is to be arranged in such a manner so as not to disrupt the foster placement or place

unreasonable demands on personnel of the agency providing or monitoring the visitation.

The Illinois Department of Children and Family Services or other appropriate agency shall

prepare and file a 45-day Case Plan pursuant to 705ILCS 405/2-10.1 on or before

________________________________________________________________________

A Social Investigation is to be prepared and filed by the Illinois Department of Children and

Family Services or other appropriate agency on or before ______________________

The temporary custodian is to make arrangements for a medical examination of the

minor pursuant to 705 ILCS 405/2-19.

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7/11/03

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Temporary Custody Order Form Page 3