Physician’s report. The court-designated physician shall submit a written report of

the examination as required by Iowa Code section 125.80(2) on the form designated for use by the supreme court. The report shall contain the following information, or as much thereof as is available to the physician making the report: (1) Respondent’s name; October 2025 SUBSTANCE USE DISORDERS Ch 13, p.3 (2) Address; (3) Date of birth; (4) Place of birth; (5) Sex; (6) Occupation; (7) Marital status; (8) Number of children, and names; (9) Nearest relative’s name, relationship, and address; and (10) The physician’s diagnosis and recommendations, with a detailed statement of the observations or medical history which led to the diagnosis. [Report 1984; November 9, 2001, effective February 15, 2002]