WPC  41Qɴ/)OP"5pZFtd O ~'Q2Bc ,|3_ :ZZn߻^jUe.m[Ƣ4쬲PN߶?ǜ(~AoO+w J$Q JR6 0:{n* @b!DJ@o[<}ݞ5zIpLQ{+[6x6]dN4o ꖳAX2(b\P*=!x^.[[ lR&)X aU yeB)?yZcRmգ9BL[R*\*i 0+==euKxB /} QE YW 4ۘCsOHkuG6$)Kn=*(#0UN %G 0:MU*U> 0d 02S 0U U > 0U m N\ ^ n ~      ^ w 4   m b. 6  1{ 0E 0Y 0N 0 72 1u 72t 0cHPLJ33000(9 Z6Times New Roman RegularX($USUS.,%2A`Arial\  `&Times New Roman0.Header (#XXXS \  `&Times New RomanSA7X` hp x (#AS \  `&Times New RomanSXXX0m.Footer (#S \  `&Times New RomanSA7X` hp x (#AS \  `&Times New RomanS(-2$ !USUS.,  \  `&Times New Roman(-2$ !USUS.,    'USUS.,  _$ (#X$XxXXX XxXXXx    =  Text1Text2Text3Text4Text5Text6Check1Check2m6Z DM6:i+003|xU- -  'USUS.,  _"X C"8/1/07 X ""I"  'USUS.,  _   `     h      p      x  8/1/07 X 8j3CIOU[agmNumbers1.1.1.1.1.1.1.1.H4 '4Heading 2Heading 2        H 4Heading 3Heading 3  332?%2A`Arial?   S\  `&Times New RomanS 332H: *4Heading 4Heading 4        H? 24Heading 5Heading 5XXX       1.3#37=CIQYag1.a.i.(1)(a)(i)1)a)%i)(;3$2#  0  .3  0  !USUS.,  _@VV)113  0 @*  X,   8xXXdd8=xXXdd=  XxXXXINTHEDISTRICTCOURTOF  %  -  ________________-  %ԀCOUNTY,KANSAS    3 p x (#X333INTHEINTERESTOF:  Ѐ   _.0p"(#pX0Name%  -  __________________________________-  % p CaseNo.%  -  _____________________-  %   ._<  z  x (#p"(#<33DOB%  -  xx/xx/____%X%  %%  -  %Ԁ0 A#XxXX Xx#XxXXXx&#XxXXXx# XxXXXx%  %vԀmale%  #XxXX XxW# XxXXXxԀ#XxXX Xx#XxXXXx&#XxXXXx #% XxXXXxԀfemale  (# (# _.< z p"(# z X<#XxXX Xxd# "$XXx      "  XxX$ORDERAPPOINTINGATTORNEYFORCHILD"v  ^Ԍ   Ќ  XxXXXx   @PursuanttoK.S.A.XxXXXx382205#XxXXXxy##$XXx#XxX$Ԉ   #$XXx#D$    #$D= #XxX$NOW,onthis______dayof_______________,_______,theCourtfindsthatgoodcause }M  hasbeenshownandappoints______________________asattorneyforthechildnamedabove.The U% attorneyscontactinformationisshownbelow.Theattorneyshallappearforandrepresentthechild - throughouttheproceedings.   (j93%"'3"  '3 2j  1  .3  0    Theattorneyshallbeservedwithcopiesofallpleadingsanddocumentsfiledherein.'3 ݌(#(# Ќ  "'3"  '3 2j  2  .3  0    Thefollowingareherebyorderedtopermittheattorneytoinspectandcopyanyrecordsin  theirpossessionrelatingtothechildnamedabove:schoolandschooldistrict;Clerkofthe ] Court;lawenforcementagency;healthcareproviderorfacility;mentalhealthcareprovider e5 orfacility;substanceabusetreatmentproviderorfacility;socialworker;anyagency, =  organization,personorofficeinpossessionofrecordsrelatingtothechild.'3  ݌" (#(# Ќ  "'3"  '32j  3  .3  0    Thechildsattorneyisauthorizedtomeetwith,interviewandobtaininformationfromschool #" teachers,staffandadministrators,andallothersnamedabove.'3݌%!$(#(# Ќ  "'3"  '3G2j  4  .3  0    Theattorneyisherebyvestedwithallpowers,privilegesandresponsibilitiesnecessaryfor 'm#& thefullandeffectiveperformanceofthedutiesandobligationstothechildassetforthinthis u)E%( order.'3Gt݌M+'*(#(# Ќ  "'3"  '32j  5  .3  0     XxXXXxAllprovidersofservices,treatmentorcareofthechildandfamily,evenifnotspecifically %-(, referredtoherein,shallprovideinformationtothechildsattorneyasrequested.Thisorder .*. encompassesandisincompliancewiththeprovisionsofthePrivacyRuleoftheHealth 0 InsurancePortabilityandAccountabilityActof1996(HIPAA),45C.F.R.164.512(e)(1).'3+݌(#(# Ќ  #XxXX Xx#"'3"  '32j  6  .3  0    Thecaptionedmatterissetfor______________________hearingonthe______dayof  __________________,_______,at________a.m.p.m.'3݌ (#(# Ќ    ITISSOORDERED.  `       z 0 p _________________________h 8 p(#p(#  X XN( 0 8@H! z p"(#N 0   h      p JudgeoftheDistrictCourtT$ (#(#  X @   XAttorneyname:_____________________________  Address: ` ______________________________ R"   0 ` ______________________________` (#` (# Phone:0 ` ________________` (#` (# FAX:0  0` (#(#________________xH` (#` (# @jj&Authority  K.S.A.382205. Z @$NotesonUse N "   Thecourtmayappointanattorneytorepresentthechild,separatefromandwithdifferent &"$ dutiesfromtheguardianadlitem,ongoodcauseshown.Thismayoccurwhentheguardianadlitem #% informsthecourtthatthechildspositionisnotconsistentwiththeguardianadlitemsdetermination #& ofthechildsbestinterest.Thesecondattorneyappointedforthechildshallcontinuetorepresent $ ' thechildthroughouttheproceedings,includinganyappellateproceedings,unlessrelievedbythe %!( courtuponashowingofgoodcause,orupontransferofvenue.Thisformservesasacourtorder &") forreleaseofinformation,whichisrequiredbymostagencies.Theformmaybechangedasneeded, '~#* andspecificagenciesorprovidersmaybeinserted. (j$+   Thefeesfortheattorneymaybeassessedasanexpenseintheproceedingstobepaidbythe )V%, complainingwitness,apersoninitiatingtheproceedings,apartyoraninterestedparty,otherthan r*B&- thestate,asdeterminedbythecourt.Upontransferofvenue,thetransferringcourtshallsendtothe ^+.'. receivingcourtastatementofexpensespaidfromthegeneralfundofthetransferringcounty. J,(/