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Order Authorizing Conservator To Give Consent For Medical Treatment GC-385 - California
| Order Authorizing Conservator To Give Consent For Medical Treatment Form. This is a California form and can be used in Probate Guardianship-Conservatorship Judicial Council . |
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GC-385 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): TELEPHONE AND FAX NOS.: FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CONSERVATORSHIP OF THE PERSON ESTATE OF (Name): CONSERVATEE ORDER AUTHORIZING CONSERVATOR TO GIVE CONSENT FOR MEDICAL TREATMENT CASE NUMBER: 1. The petition for authority to give consent for medical treatment came on for hearing as follows (check items c, d, e, and f to indicate personal presence): a. Judge (name): Time: b. Hearing date: c. Petitioner (name): d. Attorney for petitioner (name): e. Attorney for conservatee (name, address, and telephone): f. Dept.: Div.: Room: Conservatee was present unable to attend able but unwilling to attend and does not wish to contest the petition out of state. THE COURT FINDS 2. a. All notices required by law have been given. b. There is no form of medical treatment for which the conservatee has the capacity to give informed consent. Conservatee is an adherent of a religion that relies on prayer alone for healing as defined in Probate Code section 2355(b). c. d. Attorney (name): has been appointed by the court as legal counsel to represent the conservatee in this proceeding. The cost for representation is: $ e. Conservatee has dementia as defined in Probate Code section 2356.5, and the court finds all other facts required to make the orders specified in item 4. THE COURT ORDERS Conservatee lacks the capacity to give informed consent for medical treatment and the conservator of the person is 3. a. granted the powers specified in Probate Code section 2355. b. c. d. The treatment shall be performed by an accredited practitioner of the religion defined in Probate Code section 2355(b). made under Probate Code section 1880 is revoked The order dated: modified as stated below as stated in Attachment 3c. For legal services rendered, conservatee conservatee's estate shall pay to (name): the sum of: $ forthwith as follows (specify terms): Other (specify): e. f. Letters of Conservatorship shall reissue and include a statement that conservator has the powers ordered. g. This order shall terminate on (date): 4. a. The conservator of the person is granted authority to place conservatee in a care or nursing facility described in Probate Code section 2356.5(b). b. The conservator of the person is granted authority to authorize the administration of medications appropriate for the care and treatment of dementia described in Probate Code section 2356.5(c). 5. Total boxes checked in items 2-4: _____ 6. Number of pages attached: _____ Date: JUDGE OF THE SUPERIOR COURT SIGNATURE FOLLOWS LAST ATTACHMENT Form Approved by the Judicial Council of California GC-385 [Rev. January 1, 1998] Mandatory Form [1/1/2000] ORDER AUTHORIZING CONSERVATOR TO GIVE CONSENT FOR MEDICAL TREATMENT Probate Code, ยง 1880 et seq. American LegalNet, Inc. www.USCourtForms.com
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