Initial Guardianship Plan

IN THE CIRCUIT COURT, SEVENTH JUDICIAL CIRCUIT, IN AND FOR ST. JOHNS COUNTY, FLORIDA IN RE: THE GUARDIANSHIP OF _______________________________ Case No: ___________________________ Division: ___________________________ INITIAL GUARDIANSHIP PLAN __________________________________________________, the guardian of the person of __________________________________________________ (the Ward), submits the following plan as the Annual Guardianship Report of this guardian. 1. During the period beginning ______________________________ and ending ______________________________, the guardian proposes the following plan for the benefit of the Ward, which is based upon the recommendations of the examining committee's comprehensive examination, as incorporated into the court's order determining incapacity. a. Medical, mental or personal care services to be provided for the best welfare of the Ward: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ b. Social and personal service to be provided for the best welfare of the Ward: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ APR2016 American LegalNet, Inc. www.FormsWorkFlow.com c. Place and kind of residential setting best suited for the needs of the Ward: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ d. Description of health and accident insurance and any other private or governmental benefits to which the Ward may be entitled to meet any part of the costs of medical, mental health or related services provided to the Ward: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ e. Physical and mental examinations necessary to determine the Ward's medical and mental health treatment needs, including names of those who will provide examinations and approximate dates for examinations: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 2. The guardian hereby attests that the guardian has consulted with the Ward and, to the extent reasonable, honored the Ward's wishes consistent with the rights retained by the Ward under the plan, and to the maximum extent reasonable, the plan is in accordance with the wishes of the Ward. 3. This Initial Guardianship Plan does not restrict the physical liberty of the Ward more than is reasonably necessary to protect the Ward from serious physical injury, illness or disease and provides the Ward with medical care and mental health treatment for the Ward's physical and mental health. APR2016 American LegalNet, Inc. www.FormsWorkFlow.com 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. ___________________________________ Attorney for Guardian ___________________________________ Guardian (Signature) ___________________________________ Florida Bar No. ___________________________________ Guardian (Print) ___________________________________ Address (Line 1) ___________________________________ Co-Guardian (Signature) ___________________________________ Address (Line 2) ___________________________________ Co-Guardian (Print) ___________________________________ City Telephone No. State Zip ___________________________________ APR2016 American LegalNet, Inc. www.FormsWorkFlow.com