Medical Professional Appointment Letter
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Medical Professional Appointment Letter Form. This is a Arizona form and can be use in Mohave Local County.
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Tags: Medical Professional Appointment Letter, Arizona Local County, Mohave
__________________, 20____
Date
VIA CERTIFIED MAIL
______________________________
Medical Professional Name
______________________________
Medical Professional Address
______________________________
Re:
Guardian/Conservatorship of
Dear
(Case # GC-
)
:
You have been appointed by the Arizona Superior Court in Mohave County as the physician, psychologist or
registered nurse in the above matter. Enclosed for your records please find a copy of the Court's Order appointing
you as well as a blank form Medical Professional’s Report. Please note that I must have your report on or before
, 20
. Your report should include a brief description of
the patient’s medical history and your opinion as to whether the patient is in need of a Guardian and/or Conservator.
Also enclosed is a stamped, addressed envelope for you to return the completed report to me for filing with the
Court.
If you have any questions or if I can be of further assistance, please do not hesitate to call me at (_______)
____________________________.
Sincerely,
Enclosure: Order, Petition, Notice of Hearing, stamped addressed envelope, blank form Medical Professional
Report
cc:
10/04/06
________________________, Esq., Attorney for ________________________________.
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