Fla. R. Juv. P. Form 8.990

FINAL ORDER GRANTING PETITION FOR JUDICIAL WAIVER OF

PARENTAL

NOTICE AND CONSENT OR CONSENT ONLY TO TERMINATION OF

PREGNANCY

THIS CAUSE having come before the court on a petition for

judicial waiver of parental notice and consent or consent only to

termination of pregnancy and the court being otherwise advised in

the premises, finds the following:

..... The minor has proven by clear and convincing evidence that

she is sufficiently mature to decide whether to terminate her

pregnancy, for the following reason(s): …………………………

……………………………..………………………………………………………

………………………………………………………………………………………

………………………………

The court has considered the following factors in reaching this

decision that the minor is sufficiently mature to decide whether to

terminate her pregnancy and makes the following findings:

The minor’s age is ……….

The minor’s overall intelligence indicates

…………………………………………………………………….

The minor’s emotional development and stability indicates

………………………………………………….

The minor’s credibility and demeanor as a witness indicates

…………………………………………………

The minor’s ability to accept responsibility is demonstrated by

……………………………………………..

The minor’s ability to assess both the immediate and long-range consequences of the minor’s choices is demonstrated by

………………………………………………………………………………………

The minor’s ability to understand and explain the medical

risks of terminating her pregnancy and to apply that understanding

to her decision is indicated by

………………………………………………………………….……………………

………………………………………………………………………………………

Whether there may be any undue influence by another on the

minor’s decision to have an abortion.

………………………………………………………………………………………

………………………………………………………………………………………

..... The minor has proven by a preponderance of the

evidence that she is a victim of child abuse or sexual abuse inflicted

by one or both of her parents or a guardian, for the following

reason(s):

……………………………….………………………………………………………

………………………………………………………………………………………

………………………………………………………………………………………

………………………………………………………………………………………

………………………………………………………………………………………

The court, having made a finding under this section, will

report the abuse as is required by section 39.201, Florida Statutes.

..... The minor has proven by clear and convincing evidence

that ………. notice and consent or ………. consent only from a

parent or legal guardian is not in the best interests of the minor, for

the following reason(s):

…………………………………………………….…………………………………

………………………………………………………………………………………

………………………………………………………………………………………

……………………………………………

THEREFORE, it is ORDERED AND ADJUDGED that:

1. The petition for judicial waiver of parental ………. Notice

and consent or………. Consent only to termination of pregnancy is

GRANTED.

2. ……The minor may consent to the performance or

inducement of a termination of pregnancy without notice to a

parent or legal guardian.

……The minor may consent to the performance or inducement

of a termination of pregnancy but notice to a parent or legal

guardian must be provided.

3. The clerk shall keep and maintain a confidential record of

these proceedings as provided by law, and shall seal the record.

DONE AND ORDERED in the.......... court in and for …………

County, Florida, on.....(date)......

Judge