Coversheet For Dmh And Ddsn Evaluation Orders Form (Page 7 of 8) in pdf

Coversheet For Dmh And Ddsn Evaluation Orders Form Page 7

examining agency at the address listed below. To expedite commencement of the evaluation

process and scheduling of the clinical interview, counsel is instructed to immediately contact the

examining agency to advise of the issuance of this order and forthcoming service upon the

agency:

Evaluation Order Service Information

Department of Mental Health

Department of Disabilities and Special Needs

Child & Adolescent Forensic Service

Office of Behavioral Supports

S. C. Department of Mental Health

Department of Disabilities and Special Needs

CBHS Forensic Center

Post Office Box 4706

7901 Farrow Road – Building 6

Columbia, S.C. 29240

Columbia, S.C. 29203-3220

(803) 935-5600 (Phone)

(803) 898-9694 (Phone)

(803) 935-5544 (Fax)

(803) 898-9660 (Fax)

Email:

OBSForensics@ddsn.sc.gov

AND IT IS SO ORDERED.

Presiding Family Court Judge

, South Carolina

Dated:

Prosecutor Contact Information

Defense Contact Information

Prosecutor

Defense Counsel

Address

City, State, Zip

Telephone

SCCA 487 (12/2009)

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Coversheet For Dmh And Ddsn Evaluation Orders Form Page 7