22 CRR-NY D II Form ANY-CRR

STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 22. JUDICIARY
SUBTITLE D. FORMS
CHAPTER II. CPL SECTION 330.20 FORMS
FORMS (CF. PART 110)
22 CRR-NY D II Form A
22 CRR-NY D II Form A
A Examination order (inpatient examination)
FORM A
EXAMINATION ORDER
 
(INPATIENT EXAMINATION)
STATE OF NEW YORK
 
□ SUPREME COURT □ COUNTY COURT
 
PART:
__
COUNTY:
 
__________
PEOPLE OF THE STATE OF NEW YORK
Indictment No.
 
vs.
 
Crime Charged:
__________
Defendant
__________
Present:
 
Honorable
 
□ Justice of the Supreme Court
 
□ Judge of the County Court
 
The above-named defendant having been found not responsible by reason of mental disease or defect
□ by verdict (CPL 300.10, subd. 4[d])
 
□ by plea (CPL 220.15)
NOW THEREFORE, it is
ORDERED that the said defendant submit to a psychiatric examination to determine whether □ he □ she has a dangerous mental disorder, as that term is defined in paragraph (c) of subdivision 1 of CPL 330.20, and if the said defendant does not have a dangerous mental disorder, to determine whether □ he □she is mentally ill, as that term is defined in paragraph (d) of subdivision 1 of CPL 330.20, and it is further
ORDERED that the State Commissioner of Mental Health shall designate two qualified psychiatrists to conduct the aforesaid psychiatric examination, except that the Commissioner may, in his discretion, designate one qualified psychiatrist and one licensed psychologist to conduct the aforesaid examination, and such designated psychiatric examiners, in conducting their examination, may employ any method which is accepted by the medical profession or acceptable to licensed clinical psychologists for the examination of persons alleged to be suffering from a dangerous mental disorder or to be mentally ill or retarded, and it is further
ORDERED that a psychiatrist or psychologist retained by the above-named defendant may be present at the aforesaid psychiatric examination, and it is further
ORDERED that the above-named defendant be committed to a secure facility within the State Office of Mental Health which is staffed with personnel adequately trained in security methods and is so equipped as to minimize the risk or danger of escapes, and which has been specifically designated by the State Commissioner of Mental Health as the place for conducting the aforesaid psychiatric examination, and it is further
ORDERED that the continuous confinement of the above-named defendant in the aforesaid secure facility shall be for a period not exceeding 30 days, unless the court, upon application of the State Commissioner of Mental Health, subsequently authorizes confinement for an additional period prescribed by law; provided, however, that if the initial hearing required by subdivision 6 of CPL 330.20 has not commenced prior to the termination of the aforesaid examination period or periods, the State Commissioner of Mental Health shall retain custody of the defendant in such secure facility until custody is transferred in the manner prescribed in subdivision 6 of CPL 330.20, and it is further
ORDERED that the
□ Commissioner of Correction for the City of New York
 
□ Sheriff of
__
County
 
□ Commissioner of Correction for __ shall hold the above-named defendant in custody pending the aforesaid designation by the State Commissioner of Mental Health and when notified of the designation shall promptly deliver the said defendant to such secure facility, and it is further
ORDERED that each psychiatric examiner designated by the State Commissioner of Mental Health to conduct the aforesaid psychiatric examination shall, upon completion of the examination, promptly prepare a report of his or her findings and evaluation concerning the defendant's mental condition and submit such report to the said Commissioner, and upon receipt and review of such report from each designated psychiatric examiner, the said Commissioner shall submit four copies of each such report to the court that issued this examination order.
Dated: _________
 
□ Justice of the Supreme Court
 
□ Judge of the County Court
Name, Address and Telephone Number of Court Clerk:
______________
 
______________
 
______________
 
______________
 
Name, Address and Telephone Number of District Attorney:
______________
 
______________
 
______________
 
______________
 
Name, Address and Telephone Number of Counsel for Above-named Defendant:
______________
 
______________
 
______________
 
______________
 
Note: The Clerk of the Court must promptly forward or furnish a copy of this examination order to each of the following persons:
(1) State Commissioner of Mental Health
(2) The above-indicated Sheriff or local Commissioner of Correction
(3) Director of the Mental Health Information Service
(4) The above-named Defendant
(5) Counsel for Defendant
(6) District Attorney
Designation of Secure Facility:
The State Commissioner of Mental Health has designated the following secure facility as the place for conducting the psychiatric examination referred to in this order:
 
 
.
The authority for designating the
 
above-named secure facility is:
 
[contact Director of Forensic
 
Services, telephone 518: 474-7275]
22 CRR-NY D II Form A
Current through May 31, 2021
End of Document

IMPORTANT NOTE REGARDING CONTENT CURRENCY: JULY 31, 2023, is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Admisnistrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of the NYS Rules.