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Annual Guardianship Plan Guardian Of Person (Minor) Form. This is a Florida form and can be use in Orange Local County.
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Tags: Annual Guardianship Plan Guardian Of Person (Minor), 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
(Minor 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 one) is or is not
Ward.
best suited for the current needs of the
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4.
It is intended that the Ward will reside at the following location for the current year:
5.
Description of professional medical treatment given to the Ward during the preceding year:
PHYSICIAN
TREATMENT
DATE
6.
The plan for provision of medical and personal care services in the coming year is as follows:
7.
Information concerning the social condition of the Ward is submitted as follows:
A.
The social and personal services currently utilized by the Ward are:
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B.
8.
Statement of educational and social activities of the Ward are as follows:
This plan (circle one) has or has not been reviewed with the ward.
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
___________________________________
___________________________________
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IN THE CIRCUIT COURT FOR ORANGE COUNTY, FLORIDA
PROBATE/ MENTAL HEALTH DIVISION
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IN RE: GUARDIANSHIP OF
File No. 48-_______________________________
PHYSICIAN’S REPORT – MINOR WARD
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.
Date of this report: ___________________________________________________________________
7.
Signature of physician completing this report: _____________________________________________
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