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 best suited for the current needs of the Ward. 4. It is intended that the Ward will reside at the following location for the current year: American LegalNet, Inc. www.FormsWorkflow.com 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: B. Statement of educational and social activities of the Ward are as follows: American LegalNet, Inc. www.FormsWorkflow.com 8. 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 Florida Bar No.______________________ ____________________________________ Signature of Guardian ____________________________________ Signature of Co-Guardian Address ___________________________________ ___________________________________ 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 ­ MINOR WARD 1. Name of Physician: ______________________________________________________________ Address: ________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ 2. Name of ward: _________________________________________________________________ 3. Date of examination: ____________________________________________________________ 4. Purpose of examination: a. Regular checkup _______________________________________________________________ b. Treatment for _________________________________________________________________ 5. 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: ____________________________________________ American LegalNet, Inc. www.FormsWorkflow.com