Whereas, it appears on the oath of C.D., of ................, that there are reasonable grounds for believing that E.F., of ................, has committed or benefited from the commission of the offence of ................ and that the information or documents (describe information or documents) are likely to be of substantial value to an investigation of that offence or a related matter; and
I hereby order an assessment of the mental condition of (name of accused) to be conducted by/at (name of person or service by whom or place where assessment is to be made) for a period of .................... days.
To the peace officers in the said (territorial division) and to the keeper (administrator, warden) of the (prison, hospital or other appropriate place where the accused is detained).
This warrant is issued for the committal of A.B., of ...................., (occupation), hereinafter called the accused.
And whereas (name of offender) and (name of treatment facility) have consented to this order and its terms and conditions;