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.]
N.M. R. Child. Ct. 10-603
ANNOTATIONS The 2014 amendment, approved by Supreme Court Order No. 14-8300-009, effective December 31, 2014, changed the statutory references from repealed statutes to the current statutes governing the child's rights; added allegations concerning the child's understanding of the child's rights, the child's desire to be discharged, and the discharge of the child prior to advisement; in the first paragraph, changed "32A-6-12" to "32A-6A-12 and 32A-6A-21"; added the second sentence; and added the second, third, and fourth sentences to be checked by the attorney. Recompilations. - Pursuant to Supreme Court Order No. 14-8300-009, former Form 10-494 NMRA was recompiled and amended as Form 10-603 NMRA, effective December 31, 2014.