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.
Time to complete
5 minutes
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.
Questions for Forensic Evaluations Intake Form
Name:
Date of birth:
Place of birth:
Address:
Phone number:
Email address:
Social security number:
Driver's license number:
Current employment:
Employer's address:
Position:
How long have you been employed there?
Do you have any prior convictions?
- Yes
- No
If yes, please list them:
Have you ever been evaluated by a mental health professional?
- Yes
- No
If yes, please list the name and contact information of the mental health professional:
What is the nature of the crime you are being evaluated for?
When did the crime occur?
Where did the crime occur?
Who was the victim of the crime?
What was the relationship between you and the victim?
What is your version of events surrounding the crime?
Do you have any witnesses who can corroborate your version of events?
- Yes
- No
If yes, please list their names and contact information:
What is your criminal history?
Do you have any history of mental illness?
- Yes
- No
- Unsure
If yes, please list the name and contact information of the mental health professional who diagnosed you:
Do you have any history of substance abuse?
- Yes
- No
Similar Ideas
- Psychological Evaluation Form
- Mental Health Evaluation Form
- Substance Abuse Evaluation Form
- Comprehensive Clinical Assessment
- Mental Status Examination
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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