Order Appointing Attorney Health Professional And Court Investigator

(1) Person Filing: Street Address: City, State, Zip: Phone Number: Representing Self SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO In the Matter of the Guardianship and/or Conservatorship of: (2) An Adult (3) Case Number: GC ORDER APPOINTING ATTORNEY, HEALTH PROFESSIONAL, AND COURT INVESTIGATOR Pursuant to the request to appoint an attorney, health professional, and court investigator in the Petition for Guardianship and/or Conservatorship of an Adult, the court orders the following: Attorney's Name: Address: is appointed to represent the proposed ward in this case and attend the hearing. (4) Health Professional's Name: Street Address: City, State, Zip: Health Professional is a: [ ] physician [ ] registered nurse [ ] psychologist [ ] psychiatrist is appointed to examine the proposed ward and give a written report to the Petitioner. Court Investigator's Name: Address: is appointed to interview the proposed ward, file a written report with this court at least 10 days before the hearing, and give a copy of the report to the proposed ward's attorney and Petitioner. Among other powers and duties, Arizona law gives investigators the authority, in conducting interviews, to examine any court record, medical record, or financial record that relates to the investigation. Hearing Date: Dated: Superior Court Judge: Revised May 2005 Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.FormsWorkflow.com