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Name
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First Name
Last Name
Profession
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Defense Attorney
Prosecuting Attorney
Other
Jurisdiction
Los Angeles County
Other California County
Outside of California
Federal
Email
*
Phone
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(###)
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Type of evaluation
*
Diversion
Franklin, Capital case, or Mitigation
NGI
Competency
Violence/Sexual Violence Risk Assessment
Cognitive functioning
General mental health
Other (please explain in Message space below)
For defense attorneys:
Court appointed
Private pay
By when would you like the report?
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Exact date (please enter date in Message space below)
Within the next 3 months
Within the next 6 months
Message
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Thank you!