IN THE CIRCUIT COURT, SEVENTH JUDICIAL CIRCUIT, IN AND FOR ST. JOHNS COUNTY, FLORIDA IN RE: THE GUARDIANSHIP OF _______________________________ Case No: ___________________________ Division: ___________________________ ANNUAL PLAN __________________________________________________, 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 prior twelve (12) months, the Ward resided at (include names, addresses, and length of stays at each location): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 3. The current residential setting best suited for the current needs of the Ward is as follows: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ APR2016 American LegalNet, Inc. www.FormsWorkFlow.com 4. The plan for the next twelve (12) months to ensure that the Ward is in the best residential setting to meet the Ward's needs is as follows: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 5. Any professional medical treatment given to the Ward during the prior twelve (12) months was as follows: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 6. Attached is a report of a physician's evaluation of the Ward's condition and a statement of the current level of capacity of the Ward. 7. The plan for provision of medical, mental health, and rehabilitative services for the next twelve (12) months is as follows: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 8. The Ward is currently utilizing the following social and personal services (include name, services rendered and address of each provider): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ APR2016 American LegalNet, Inc. www.FormsWorkFlow.com 9. The following is a statement of the social skills of the Ward, including how well the Ward maintains interpersonal relationships with others: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 10. The following is a description of the Ward's activities at communication and visitation: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 11. The following is a description of the unmet needs of the Ward, if any: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 12. During the prior twelve (12) month period, the following activities were undertaken in an effort to increase the capacity of the Ward: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________