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Forensic Evaluations Intake Form

The Forensic Evaluations Intake Form is a document that is used to gather information about an individual who is being evaluated for their involvement in a crime. The form includes questions about the individual's personal history, criminal history, and the details of the crime they are being evaluated for.

5 minutes to complete

Eligibility

The Forensic Evaluations Intake Form is used by law enforcement and prosecutors to gather information about an individual who is being evaluated for their involvement in a crime.

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Questions for Forensic Evaluations Intake Form

Questions

1.

Name:

The answer should be a text input.
2.

Date of birth:

The answer should be a date input.
3.

Place of birth:

The answer should be a date input.
4.

Address:

The answer should be a text input.
5.

Phone number:

The answer should be a phone number.
6.

Email address:

The answer should be an email input.
7.

Social security number:

The answer should be a text input.
8.

Driver's license number:

The answer should be a text input.
9.

Current employment:

The answer should be a text input.
10.

Employer's address:

The answer should be a text input.
11.

Position:

The answer should be a text input.
12.

How long have you been employed there?

The answer should be a text input.
13.

Do you have any prior convictions?

The answer should be a single choice:
  1. Yes
  2. No
14.

If yes, please list them:

The answer should be a text input.
15.

Have you ever been evaluated by a mental health professional?

The answer should be a single choice:
  1. Yes
  2. No
16.

If yes, please list the name and contact information of the mental health professional:

The answer should be a single choice:
    17.

    What is the nature of the crime you are being evaluated for?

    The answer should be a text input.
    18.

    When did the crime occur?

    The answer should be a text input.
    19.

    Where did the crime occur?

    The answer should be a text input.
    20.

    Who was the victim of the crime?

    The answer should be a text input.
    21.

    What was the relationship between you and the victim?

    The answer should be a text input.
    22.

    What is your version of events surrounding the crime?

    The answer should be a text input.
    23.

    Do you have any witnesses who can corroborate your version of events?

    The answer should be a single choice:
    1. Yes
    2. No
    24.

    If yes, please list their names and contact information:

    The answer should be a text input.
    25.

    What is your criminal history?

    The answer should be a text input.
    26.

    Do you have any history of mental illness?

    The answer should be a single choice:
    1. Yes
    2. No
    3. Unsure
    27.

    If yes, please list the name and contact information of the mental health professional who diagnosed you:

    The answer should be a text input.
    28.

    Do you have any history of substance abuse?

    The answer should be a single choice:
    1. Yes
    2. No

    Forms Similar to Forensic Evaluations Intake Form

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    Here are some FAQs and additional information
    on
    Forensic Evaluations Intake Form

    What is a forensic evaluation?

    A forensic evaluation is a type of assessment performed by a mental health professional in order to provide information that can be used in a legal proceeding. The evaluation may be requested by a court, attorney, or other party involved in the case.

    What is the purpose of a forensic evaluation?

    The purpose of a forensic evaluation is to provide information that can be used in a legal proceeding. The evaluation may be requested by a court, attorney, or other party involved in the case.

    Who can request a forensic evaluation?

    A forensic evaluation may be requested by a court, attorney, or other party involved in the case.

    Who will conduct the forensic evaluation?

    A mental health professional, such as a psychologist or psychiatrist, will conduct the forensic evaluation.

    What will the mental health professional do during the evaluation?

    The mental health professional will interview the person being evaluated, as well as any other relevant parties. They will also review any available records, such as medical records or police reports. The mental health professional will then provide a written report with their findings and recommendations.

    How long does a forensic evaluation take?

    A forensic evaluation can take several hours or days, depending on the complexity of the case.

    How much does a forensic evaluation cost?

    The cost of a forensic evaluation can vary depending on the mental health professional conducting the evaluation, the length of the evaluation, and the complexity of the case.

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