þ en-USen-US I, en-USen-US We, the undersigned, hereby report to the court as follows: 1. þ That the nature and extent of the Respondent's disabilities may be described as follows: þ en-US þ þ þ en-US 2. þ That the evaluations ordered regarding the Respondent are current and were performed and signed by the þ þ following individuals: en-USEvaluation:en-US en-USIntellectual:en-US en-USPhysical:en-US en-USEducational: en-USen-USAdaptive Behavior:en-US en-USSocial Skills:en-US þ þ en-US þ Is needed for the following reason: þ þ þ þ en-US þ Is not needed for the following reason: þ þ þ þ en-USen-USPage 1 of 3en-USen-USCourt of Justice en-USwww.courts.ky.goven-USen-USREPORT OF INTERDISCIPLINARYen-USEVALUATION TEAM lexet justitia COMMONWEALTHOFKENTUCKY COURTOFJUSTICE * * * * * * * * * * * * en-USen-USen-USen-USen-US Name þ Title þ Date Performed en-US þ en-USen-USen-USen-US þ en-USen-USen-USCase No. Court þ County þ þ American LegalNet, Inc. www.FormsWorkFlow.com mmendati, scope, and duration of guardianship for the Respondent is/are as follows: Is needed for the following reason: Is not needed for the following reason: Respondent is/are as follows: ntly being provided to the Respondent are as follows: ip/conservatorship: Are available (explain): Are not available (explain): Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 9.That the recommendations and reasons as to the most appropriate treatment or rehabilitation plan and living arrangement for the Respondent are as follows: rein: . m. 11.That appended hereto is a list of all medications currently being given to the Respondent on a continuous basis, the dosage of the medication, and a description of its impact upon the Respondent's mental and physical condition and behavior. 12.That any dissenting opinions or other comments are as follows: (check one): Advanced Practice Registered Nurse Physician Assistant (check one): Page 3 of 3AddressTelephone Number American LegalNet, Inc. www.FormsWorkFlow.com