Order Granting Psychological Evaluation - Palm Beach County Circuit Court
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IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT,
IN AND FOR PALM BEACH COUNTY, FLORIDA
_____________________________
CASE NO.: ______________________
Petitioner
FAMILY DIVISION
and
ORDER GRANTING PSYCHOLOGICAL EVALUATION
_____________________________
Respondent
THE COURT hereby orders the Court Psychology Office to complete a psychological evaluation within 90
days. An updated psychological evaluation may be performed if the psychologist deems it necessary.
THE COURT ORDERS THE PARTIES TO CALL THE COURT PSYCHOLOGY OFFICE AT (561) 355-2108
WITHIN THREE (3) DAYS FROM THE DATE OF THIS ORDER TO SCHEDULE AN APPOINTMENT AND
TO COOPERATE WITH THE PSYCHOLOGY OFFICE TO ACCOMPLISH THE EVALUATION. This case
will not be continued because the Court has not received a report prior to trial.
Psychological evaluations will be conducted for :
9
Mother
9
Father
9
Child/ren (indicate number of children) _____________
The issues of concern to the Court are:
1. ______Suicide Potential
2. ______Violence Potential
3. ______Child Abuse and Neglect
4. ______Drugs or excessive alcohol abuse
5. ______Mental Health Problems
6. ______Other (please specify)________________________________________
The parties have filed financial affidavits, and the Court determines for purposes of this order only:
_______ Neither party is indigent based upon the financial affidavits and each will pay the costs.
_______ Petitioner is indigent based upon the affidavit of indigency and financial affidavit.
_______ Respondent is indigent based upon the affidavit of indigency and financial affidavit.
The amount due for a completed psychological evaluation, $750 for each person being evaluated, shall
be paid to Court Psychology Office within thirty (30) days from the date of this order as follows:
_____ $1,500 paid equally by the parties (½ of total bill to be paid by each side).
_____ $750 paid by the Petitioner/waived as to Respondent.
_____ $750 paid by the Respondent/waived as to Petitioner.
_____ waived as to both parties because they are indigent.
Payment shall be made by cashier’s check, money order, or other certified funds, made payable to the
Board of County Commissioners of Palm Beach County and delivered by hand or mail to the
Court Psychology Office at the address below. If payment is not received within ten (10) days, the
Court Psychology Office will notify the court. If the parties settle their dispute prior to the completion
of the psychological evaluation, they must immediately notify the Court Psychology Office in writing.
If the evaluation process has started, there will be no refund. Services rendered after the completion
of the psychological evaluation (depositions/testimony/etc) will be charged at the rate of $50.00 per
hour.
DONE AND ORDERED in Palm Beach County, Florida, this _____ day of ___________, 2004.
, CIRCUIT JUDGE
Copies furnished by mail to:
Court Psychology Office, 205 N. Dixie Hwy., Rm. 4.1100, Juvenile Wing, W.P.B., FL 33401 (inter-office)
Petitioner/Petitioner’s Atty.:________________________________________________________
Respondent/Respondent’s Atty.: ___________________________________________________
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