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Annual Guardianship Plan Guardian Of Person (Adult) Form. This is a Florida form and can be use in Orange Local County.
Tags: Annual Guardianship Plan Guardian Of Person (Adult), Florida Local County, Orange
IN THE CIRCUIT COURT FOR ORANGE COUNTY, FLORIDA PROBATE/ MENTAL HEALTH DIVISION IN RE: GUARDIANSHIP OF File No. 48-_______________________________ ANNUAL GUARDIANSHIP REPORT ANNUAL GUARDIANSHIP PLAN OF GUARDIAN OF PERSON (Adult Ward) __________________________________________________________________________________, the guardian of the person of _____________________________________________________________________(the Ward), submits the following plan as the Annual Guardianship Report of this guardian: The Annual Guardianship Plan for the period beginning ________________________________________, ___________, and ending ____________________________, _________, shall be as follows: 1. The Ward’s address at the time of filing this plan is ____________________________________ ______________________________________________________________________________. 2. During the preceding year, the Ward resided at (include dates, names, addresses and length of stay at each place): 3. The current residential setting (circle on) is or is not Ward. best suited for the current needs of the Page 1 of 5 American LegalNet, Inc. www.FormsWorkflow.com 4. Plans for ensuring that the Ward is in the best residential setting to meet the Ward’s needs during the coming year are as follows: 5. Description of professional medical treatment given to the Ward during the preceding year: PHYSICIAN TREATMENT DATE 6. Report of a physician who examined the Ward no more than 90 days before the beginning of the report period is attached. Report contains an evaluation of the Ward’s condition and a statement of the current level of capacity of the Ward. 7. Plan for provision of medical, mental health and rehabilitative services in the coming year is as follows: Page 2 of 5 American LegalNet, Inc. www.FormsWorkflow.com 8. Information concerning the social condition of the Ward is submitted as follows: A. The social and personal services currently utilized by the Ward are: B. State the social skills of the Ward, including how well the Ward maintains interpersonal relationships with others: C. Describe the Ward’s activities at communication and visitation: D. Description of the social needs of the Ward: Page 3 of 5 American LegalNet, Inc. www.FormsWorkflow.com 9. Summary of activities during the preceding year designed to increase the capacity of the Ward: 10. The Ward (circle one that applies) is or is not capable of having some or all of his/her rights restored. If capable, identify rights that should be restored 11. I/We (circle one) do or do not plan to seek the restoration of any rights to the Ward. 12. This plan (circle one) has or has not been reviewed with the Ward to the extent possible. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Signed on the ______ day of ___________________, _________. ___________________________________ Attorney for Guardian ____________________________________ Signature of Guardian Florida Bar No.______________________ ____________________________________ Signature of Co-Guardian ___________________________________ Address ___________________________________ ____________________________________ Signature of Ward (if applicable) ___________________________________ Page 4 of 5 American LegalNet, Inc. www.FormsWorkflow.com IN THE CIRCUIT COURT FOR ORANGE COUNTY, FLORIDA PROBATE/ MENTAL HEALTH DIVISION IN RE: GUARDIANSHIP OF File No. 48-_______________________________ PHYSICIAN’S REPORT 1. Name of Physician: ______________________________________________________________ Address: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ 2. Name of ward: ______________________________________________________________ 3. Date of examination: ______________________________________________________________ 4. Purpose of examination: a. b. 5. Regular checkup ____________________________________________________________ Treatment for _______________________________________________________________ Evaluation of ward’s condition: (Specify mental and physical condition at time of exam) ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 6. Description of ward’s capacity to live independently: ________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 7. The ward (circle one) does or does not continue to need assistance of a guardian. 8. Is the ward capable of being restored to capacity at this time? 9. Date of this report: ___________________________________________________________________ 10. Signature of physician completing this report: _____________________________________________ (circle one) Yes or NO Page 5 of 5 American LegalNet, Inc. www.FormsWorkflow.com