Form Pg-215 - Final Guardianship Report - 2005 Page 3

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b.
What is the ward’s opinion of the ward’s current living arrangements?
2.
Medical Care.
a.
Which of the following medical professionals has the ward seen since the last
report to the court?
Doctor’s Name
Phone No.
Dates Seen
Medical Doctor
Dentist
Eye Doctor
Ear Doctor
Psychologist or
Psychiatrist
Other:
b.
Describe any medical services and mental health treatment provided to the ward
since the last report to the court:
c.
Are there any problems providing medical care or treatment for the ward?
d.
Is a no-code (Do Not Resuscitate) provision in place for the ward?
Yes
No
e.
Did the ward, while the ward still had the capacity to do so, execute a durable
power of attorney for health care or some other advance health care directive
Page 3 of 12
Probate Rules 16(e)(1)(C), 16(e)(3) & 17(f)
AS 13.26.276 - .286, .510, .570 & 13.06.100
PG-215 (4/17)(cs)
FINAL GUARDIANSHIP REPORT

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