New Mexico Forms Library
Decision Information
Chapter 32A - Children's Code - cited by 1,700 documents
Decision Content
10-602. Guardian ad litem certification of [continued] [admission] [placement] for [residential treatment] [habilitation].
STATE OF NEW MEXICO
COUNTY OF ________________________
__________________ JUDICIAL DISTRICT
IN THE CHILDREN’S COURT
STATE OF NEW MEXICO ex rel.
CHILDREN, YOUTH AND FAMILIES DEPARTMENT
No. __________
IN THE MATTER OF
___________________________________
GUARDIAN AD LITEM CERTIFICATION
OF [CONTINUED] [ADMISSION] [PLACEMENT] FOR
[RESIDENTIAL TREATMENT] [HABILITATION]1
___________________________, guardian ad litem for the above child, certifies pursuant to Section 32A-6A-20 NMSA 1978 the following:
1. __________________ (initials and date of birth of child) was admitted to ____________________ (place admitted) on ___________________ (date).
2. The child was advised of the child’s rights on ___________ (date).
3. Pursuant to Section 32A-6A-20 NMSA 1978, I certify that I have met with the child, the child’s legal custodian, and the child’s clinician and that I have determined the following: (provide a detailed factual explanation for each)
a. On ______________ (date), I met with the child’s parent, guardian, or legal custodian, ______________ (name), who [does] [does not] understand and [does] [does not] consent to the child’s admission to a [residential treatment] [habilitation] program.2
b. The admission [is][is not] in the child’s best interests because
________________________________________________________________
________________________________________________________________.
c. The admission [is][is not] appropriate for the child because
________________________________________________________________
________________________________________________________________.
d. The admission [is][is not] consistent with the least restrictive means principle because
________________________________________________________________
________________________________________________________________.
e. The child’s clinician [does][does not] recommend [continued] admission because
________________________________________________________________
________________________________________________________________.
4. Based on the above determination, I recommend the following: (choose only one option)
[ ] a. The child should [continue to] be admitted to a [residential treatment] [habilitation] program because all of the requirements in Paragraph Three (3), above, have been satisfied.
[ ] b. The child should be discharged immediately or the facility should immediately initiate involuntary commitment proceedings because one or more of the requirements in Paragraph Three (3) have not been satisfied.
________________________________
Date
________________________________
Attorney’s signature
________________________________
Address
________________________________
Telephone number
________________________________
Guardian ad litem (signature)
________________________________
Address
________________________________
Telephone number
USE NOTES
1. This form shall be filed upon the admission or placement of the child in a residential treatment or habilitation program and every sixty (60) days after the date of the child’s initial admission or placement. See NMSA 1978, § 32A-6A-20(H), (K).
2. If the child’s parent, guardian, or legal custodian could not be found, the guardian ad litem must recommend discharge or the initiation of involuntary commitment proceedings as provided in Paragraph 4(b).
[Approved, effective July 1, 2002; 10-493 recompiled and amended as 10-602 by Supreme Court Order No. 14-8300-009, effective for all cases filed or pending on or after December 31, 2014.]