Annual Report On The Location, Condition And Well Being Of Ward (Page 2 of 7) in pdf

Annual Report On The Location, Condition And Well Being Of Ward Page 2

5. Briefly describe all social activities in which the ward has participated during the last

twelve (12) months:____________________________________________________

_____________________________________________________________________

6. If during the last twelve (12) months the Guardian has received and spent funds for

the care and maintenance of the ward, provide the amounts below: (state all funds

received from any source including social security or welfare payments).

a. Total funds received: $__________________________

b. Source of funds:_______________________________

c. Total funds spent for ward's care: $ ________________

7. Compared to commonly accepted community standards, the ward's present living

conditions are:

____Above Average _____Good____Need Improvement

When improvement is needed, briefly describe all problems and your plan to seek

improvement:

______________________________________________________________________

_______________________________________________________________________

8. The ward's present physical and/or mental condition is:

____Above Average ____Good _______Need Improvement

When improvement needed, briefly describe all problems and your plan to seek

improvement:_____________________________________________________________

_______________________________________________________________________

9. Has the guardian filed for emergency detention of the ward under Sub Chapter A Ch. 513

of the Health & Safety Code, if so, how many times?

Yes or

(mark one)

_________________________________________________________________________

Rev. 01.14

Annual Report On The Location, Condition And Well Being Of Ward Page 2