Physicians Affidavit

AFFIDAVIT IN SUPPORT OF PETITION FOR APPOINTMENT OF GUARDIAN-CONSERVATOR. This form is used in the Missouri Circuit Court, Twenty-Second Judicial Circuit, Probate Division (City of St. Louis), by a licensed physician to provide medical evidence regarding an individual (the respondent) who may be incapacitated or disabled. The form requires the physician to detail the respondent’s medical condition, cognitive abilities, and functional limitations, including their ability to make decisions about personal care, finances, voting, driving, and marriage. The physician must assess whether the respondent can manage their essential needs and financial resources or if guardianship/conservatorship is necessary. It also asks for recommendations on the least restrictive living arrangement for the respondent. This affidavit supports a petition for guardianship or conservatorship by providing the court with expert medical testimony about the respondent’s capacity. www.FormsWorkflow.com