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This publication answers questions for youth and their parents may have if they are arrested, ticketed or otherwise involved in the Juvenile Offender system in Kansas.
The index (on page 4) is hyperlinked to the information related to the question. Click on the question to be directed to this information.
► This form is available to print in PDF or Word format at the bottom of this page.
REPORT OF EXAMINATION AND EVALUATION
By a □ physician □ psychologist □ social worker □ other: _____________________________ (In compliance with K.S.A. 59-3064)
Attach additional sheets as necessary.
(1) Date/Location of examination:_______________ , at ______________
(2) Name of proposed ward/conservatee:__________________________
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