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NJ DCF Logo with reverse copy

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective

Date:

Volume:

X

Forms

Chapter:

A

Forms

5-24-2010

Subchapter:

1

Forms

Issuance:

14.234

CP& Form 14-234, Waiver for Psychological Examination

 

Click here to view, complete, and print the CP&P Form 14-234, Waiver for Psychological Examination.

 

WHEN TO USE IT

 

Any child placed for adoption by CP&P has the right to be psychologically tested at no expense to the adoptive parent(s) prior to the finalization of the adoption.  Use CP&P Form 14-234, Waiver for Psychological Examination, during the Pre-Consent Interview, if the adoptive parent is satisfied with the child's development and chooses to waive the psychological examination of the child. 

 

HOW TO USE IT 

 

      Staff from the Local Office prepare this letter using the on-line template in the computerized Forms Manual (11-20), and bring it to the Pre-Consent Interview. 

 

      At the Pre-Consent Interview, the Worker and his or her Supervisor discuss with the adoptive parent(s) whether to request a psychological evaluation of the child at the Division's expense or to waive the right to this evaluation.  See CP&P-V-A-1-1300, Pre-Consent Interview with Resource Parent.

 

If the adoptive parent(s) decides to waive the psychological examination, he or she signs and dates the CP&P Form 14-234.  The child's Worker also signs and dates the form.

 

      Include the completed, signed CP&P Form 14-234, as part of the Adoption Consent package, which is submitted to the Local Office Manager within 60 days of the child becoming legally free for adoption.  See CP&P-V-A-1-1300, Submitting the Adoption Consent Package.

 

 

TIPS FOR COMPLETING THE FORM 

 

•           Complete all text fields and dropdown fields. 

 

•           The form must be fully completed with clear signatures by all parties.

 

DISTRIBUTION

 

Original          -           Adoption Pre-Consent package