Attachment #4.doc

This is a psychological evaluation form from the South Carolina Department of Juvenile Justice designed for use in General Sessions Court waiver evaluations when a juvenile's case is protected under State v. Hitopoulus, 359 S.E.2d 747 (1983). The form serves as an informed consent and acknowledgment document to be completed by the evaluating psychologist prior to conducting the waiver evaluation. The document outlines the purpose of the evaluation—to assist the Family Court in determining whether a juvenile's case should be transferred to General Sessions Court (adult court) and whether the juvenile should be treated as an adult for criminal prosecution purposes. The form documents the Family Court's protective order regarding confidentiality of oral and written communications related to the juvenile's charges, limiting the use of such communications as evidence in criminal proceedings outside of the waiver hearing itself.

The form requires signatures from the juvenile, parent or guardian, attorney, and witness, along with identification of the witness's title. It includes acknowledgment that the juvenile has read or had read to them the statement, understands its contents, is willing to participate voluntarily in the evaluation, and confirms that no promises, threats, inducements, pressure, or coercion have been applied. The form, designated as Form C-2.2B and dated December 2014, is a procedural document rather than a contract solicitation, establishing the legal framework and informed consent necessary for psychological evaluation services related to juvenile court waiver proceedings in South Carolina.