New Mexico Forms Library

10-603.  Attorney’s certificate.

STATE OF NEW MEXICO

COUNTY OF ________________________

__________________ JUDICIAL DISTRICT

IN THE CHILDREN’S COURT                                                      No. __________

IN THE MATTER OF

___________________________________

ATTORNEY’S CERTIFICATE

            I, ___________________________ (name of attorney), certify that on ____________________ (date) I met with the above named child who was born on ____________________ and explained the child’s rights under Sections 32A-6A-12 and 32A-6A-21 NMSA 1978.

            I further certify the following: (check only one)

                        [ ]         I am satisfied that the child understands these rights and voluntarily and knowingly desires to remain as a patient in a residential treatment or habilitation program.

                        [ ]         I do not believe that the child understands these rights.

                        [ ]         The child demands to be released.

                        [ ]         The child was discharged prior to the opportunity for advisement.

________________________________

Date

________________________________

Attorney’s signature

________________________________

Address

________________________________

Telephone number

[Approved, effective July 1, 2002; 10-494 recompiled and amended as 10-603 by Supreme Court Order No. 14-8300-009, effective for all cases filed or pending on or after December 31, 2014.]