…………………………………………………………………………………… Applicant

of…………………………………………………………………………………

…………………………………………………………………………………… Respondent

of……………………………………………………………………………………

WHEREAS on application of the Health Service Executive, made under section 23B (1) of the above mentioned Act, this Court on the …….day of ……………20… made a special care order *placing *maintaining the above-named child in the care of that Executive for the period of …….

NOW, THE COURT on the application of the applicant Executive herein to have the special care order discharged and a supervision order made in respect of the child

HAVING HEARD the evidence tendered herein

BEING SATISFIED THAT

notice of the application herein was duly served,

such special care order should no longer remain in force, but that it is desirable that the child be visited periodically in his/her home by or on behalf of the Executive,

HEREBY DISCHARGES the said special care order in respect of the said child and

HEREBY AUTHORISES the………………… Executive to have the said child…………visited in his/her home at ……………………………………… in the said court district on such periodic occasions as the Executive may consider necessary in order to satisfy itself as to the welfare of the child and to give to *(his/her parents) *(the person acting in loco parentis) any necessary advice as to the care of the child.

*AND DIRECTS under section 19 (4) of the Act (as to the care of the child) as follows:-

This order shall remain in force-

*(for the period of twelve months from the date hereof)

*(from the …….day of…………..….20… until the ….. day of……………….20……)

unless sooner discharged and, in any event, shall cease to have effect when the person in respect of whom it is made ceases to be a child

Dated this ……day of……………20

Signed ………………………………………………

Judge of the Children Court