Report On The Guardianship Of The Person Form (Page 2 of 3) in pdf

Report On The Guardianship Of The Person Form Page 2

These services _____ are, or, _____ are not provided for in the current Guardian Plan. The reason

they are not shown in the current Guardian Plan is:

______________________________________________________________________

The ward was last seen by a physician on:

__________________________________________

The purpose of the visit was:

______________________________________________________

I _____ have, or, _____ have not observed any major change in the ward’s physical or mental

condition during the last year. If so, these are my observations:

______________________________________________________________________

I _____ have, or, _____ have not taken any significant action for or on behalf of the ward since the

last time I submitted a Guardianship Report. If so, I took the following actions:

______________________________________________________________________

10. There _____ have, or, _____ have not been any significant problems relating to the ward or to my

guardianship of the ward since the last time I submitted a Guardianship Report, or, if this is an initial

report, since the issuance of my letters. If so, I have observed these problems:

______________________________________________________________________

11. It is my opinion that the guardianship _____ should, or, _____ should not be continued. If so, the

basis for my belief is as follows:

______________________________________________________________________

12. I believe the ward _____ would, or, _____ would not be able to manage essential requirements for

physical health and safety with fewer restrictions on the ward’s ability to act for himself or herself. If

so, the basis for my belief is as follows:

______________________________________________________________________

13. My opinion of the present care being provided to the ward is as follows:

Report On The Guardianship Of The Person Form Page 2