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DOCKET NO. :
SUPERIOR COURT
IN RE: ______________ : JUVENILE MATTERS :
AT WILLIMANTIC :
DATE
MOTION FOR ACCESS TO RECORDS
The attorney for the minor child says:
1. On (month/day), year, a petition was filed in this
court.
2. On (month/day), year, the undersigned was appointed
attorney for the minor child.
3. It is necessary for the attorney for the minor
child to inspect the educational/medical/mental health records of
the minor child.
WHEREFORE, the attorney for the minor child respectfully
requests that this court order that the attorney for the minor child
have access to the confidential records of the minor child.
THE MINOR CHILD By
______________________________ HIS/HER ATTORNEY
ORDER (1)
The foregoing motion having been heard it is hereby
ORDERED: that the attorney ____________________ shall have access
to (state specific records) records of (child's name).
__________________________________ JUDGE
ORDER (2)
The foregoing motion having been heard it is hereby
ORDERED that the respondent(s) execute (a) release of information
to permit the attorney for the minor child to obtain (state specific
records) records of the minor child.
__________________________________ JUDGE
CERTIFICATION
I hereby certify that a copy of the foregoing was
mailed to all counsel of record.
________________________________________ COMMISSIONER
OF THE SUPERIOR COURT
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