EZRCP · New Mexico · Part 1 - District Court Rules · Form 4-934 NMRA

Form 4-934 NMRA. — Petition for enforcement order.

New Mexico · Part 1 - District Court Rules

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Rule text

[For use with Section 43-1-15(G) NMSA 1978]

STATE OF NEW MEXICO COUNTY OF _______________ ________________ DISTRICT COURT

In the Matter of _______________________, SI No. _______

PETITION FOR ENFORCEMENT ORDER

Petitioner, ___________________ under Section 43-1-15 NMSA 1978, states the following.

1. Petitioner was appointed as treatment guardian for Respondent, _____________________, on _____________ (date) in Case No. _________________.

2. Petitioner's appointment as treatment guardian shall terminate on __________ (date).

3. Respondent is currently residing at ____________________________________ (Respondent's last-known address).

4. Respondent has a mental disorder as defined by the New Mexico Mental Health Code, Section 43-1-3(O) NMSA 1978, and is currently diagnosed as follows:

______________________________________________________________________

______________________________________________________________________

5. Respondent has been prescribed the following medication(s), on the following date(s), by the following authorized prescriber(s): Medication Date Prescriber (name and contact info) _________________________ ___________ _____________________________ _________________________ ___________ _____________________________ _________________________ ___________ _____________________________ _________________________ ___________ _____________________________

6. Petitioner's last contact with Respondent was on ____________________ (date) by _____________________ (type of contact, e.g., in person, by telephone, etc.).

7. Petitioner's last contact with the authorized prescriber who prescribed the medication that is the subject of this petition was on ______________________ (date).

8. Respondent's last known contact with the authorized prescriber, a mental health practitioner, or a community provider was on ______________________ (date).

9. Respondent did not comply with Petitioner's treatment decision about the following medications, on the following date(s):

Medication Date _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

10. Petitioner made the following efforts to engage Respondent to comply with Petitioner's treatment decision(s): __________________________________________

_____________________________________________________________________

_____________________________________________________________________

11. Respondent responded to the efforts described in Paragraph 10 as follows:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

12. Respondent reports taking medication(s) last on ____________________ (date).

13. The following individuals report that Respondent last took medication(s) on the following date(s):

Name of individual Medication Date ___________________________ _____________________ _________ ___________________________ _____________________ _________ ___________________________ _____________________ _________ ___________________________ _____________________ _________

14. Petitioner has weighed the following risks and benefits about filing this petition:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

15. If this petition is not granted, the following outcome is likely for Respondent:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

16. The following options are available for administering the medication(s) in question to Respondent: _________________________________________________

_____________________________________________________________________

_____________________________________________________________________

17. Respondent has been ordered to comply with previous treatment decisions as follows: ______________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

18. This enforcement order should remain in effect until ______________________ (date) because _________________________________________________________

WHEREFORE, Petitioner requests an order to enforce the following treatment decision(s): ____________________________________________________________

_____________________________________________________________________

The order [ ] should [ ] should not authorize a peace officer to take Respondent into custody and to transport Respondent to an evaluation facility. The order [ ] should [ ] should not authorize the evaluation facility to forcibly administer treatment.

Respectfully submitted, _________________________________

USE NOTES

A person appointed as a treatment guardian may petition for an enforcement order "[i]f a client, who is not a resident of a medical facility and for whom a treatment guardian has been appointed, refuses to comply with the decision of the treatment guardian." NMSA 1978, § 43-1-15(G). An enforcement order is not a prophylactic measure. Rather, an enforcement order should be granted only upon proof that the respondent has refused to comply with the treatment guardian's decision. As such, a petition for an enforcement order should be viewed as a last resort, to be pursued after other efforts to get the respondent to comply with a treatment decision have been unsuccessful. For further information about the procedures for the appointment of a treatment guardian, see Rule 1-130 NMRA.

[Adopted by Supreme Court Order No. 19-8300-021, effective December 31, 2019.]