Written Deposition Pursuant Page 9

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Q.
What is the probability that the extent of his/her incapacities may significantly increase or
decrease? Please include an explanation.
A.
Q.
Would the alleged incapacitated person’s physical or mental condition be harmed by the
subject’s presence at the hearing on the subject’s alleged incapacity? If so, please include
an explanation.
A.
Q.
Is there any other information relevant to your diagnosis that could assist the Court in its
determination of capacity?
A.
Dated: _______________
Signed: ______________________________________
8

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