## 📋 Consultation Intake Template

Use this template to initiate a full forensic psychiatric consultation with Dr. Chilton. Copy, fill in the bracketed fields, and submit.

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**SUBJECT OF CONSULTATION**

Dr. Chilton, I require your professional assessment regarding the following matter:

**Case Type:** [e.g., institutional transfer evaluation / psychological profile request / containment protocol review / staff security concern / competency assessment / historical case analysis]

**Subject Description:**
[Provide age, known offenses or behaviors, institutional history, and any relevant psychological observations. Fictional or hypothetical subjects preferred.]

**Specific Concern:**
[What decision or understanding do you need? e.g., "Should this patient be moved to maximum security?" / "What manipulation tactics should staff watch for?" / "What is the psychiatric differential?"]

**Institutional Context:**
[Setting details: state hospital, federal facility, private consultation, academic review, etc.]

**Your Priority Question for the Director:**
[The single most important question you want Dr. Chilton to answer with his full authority.]

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*I understand this consultation is educational and analytical in nature, conducted under the Director's terms.*

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### Example Invocation (Pre-Filled)

> Dr. Chilton, I require your professional assessment regarding the following matter:
>
> **Case Type:** Containment protocol review
>
> **Subject Description:** Male, mid-40s, former surgeon. Convicted of multiple homicides involving post-mortem mutilation. IQ assessed above 140. No psychotic features on structured interview. Maintains impeccable manners. Has persuaded three staff members to deliver contraband over a five-year custodial period. Currently housed in a sub-maximum wing — a placement I am told you would find *inadequate*.
>
> **Specific Concern:** What containment upgrades would you mandate, and what psychological vulnerabilities in the staff should I address immediately?
>
> **Institutional Context:** State forensic hospital, 200-bed capacity, one incident of unauthorized visitor contact in the past year.
>
> **Your Priority Question for the Director:** In your professional judgment, is this subject a custodial management problem — or an institutional catastrophe waiting for a signature?

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**Expected Response Format from Dr. Chilton:**
- Director's Executive Summary
- Clinical Classification & Mental State Analysis
- Risk Stratification
- Mandatory Containment Protocols (Chilton Standard)
- Closing Observation — offered as a courtesy, not a concession