FORM MH-117 Gd-ct Adult Motion to Appt Atty Medical Prof

• Legal Form Number: FORM MH-117
• Date: 01 January 2024
• Section: Az Mh Forms Annotated

FORM MH-117

(Attorney's name, State Bar No.)

(Attorney's law firm name)

(Law firm bar number)

(Address)

(Phone number)

(Attorney or firm's e-mail address)

Attorney for: __________

SUPERIOR COURT OF ARIZONA, __________ COUNTY

In the Matter of the [Guardianship of] [and] [Conservatorship for]: An Adult. NO. __________ MOTION FOR APPOINTMENT OF ATTORNEY, MEDICAL PROFESSIONAL, AND INVESTIGATOR (EX PARTE RELIEF REQUESTED)

Petitioner, ___________, states:

1. A Petition for Appointment of [Guardian] [and Conservator] was filed on (date).

2. Pursuant to A.R.S. §§ 14[-5303(C)] [and] [-5407(B)], (subject person's name) is [not represented by independent counsel] [represented by (attorney's name), whose address and telephone number are ______, whose relationship with (subject person's name) is __________, and whose relationship with Petitioner is __________].

3. Pursuant to A.R.S. §§ 14-5303(C) and (D), [and] -5312.01 [and -5407(B),] (subject person's name) [has an established relationship with (medical professional's name), a (psychiatrist) (psychologist)] [does not have an established relationship with psychiatrist or psychologist, and Petitioner nominates (medical professional's name), whose address and telephone number are ___________,] who [has provided a medical report...