FORM MH-117 GD motion to Apptg Attorney physician

• Legal Form Number: FORM MH-117
• Date: 01 January 2014
• 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(s) for: __________

SUPERIOR COURT OF ARIZONA, COUNTY

In the Matter of the Guardianship of [and Conservatorship for]: an Adult. NO. __________ motion FOR APPOINTMENT OF ATTORNEY, [PSYCHIATRIST] [PSYCHOLOGIST], AND INVESTIGATOR (ex parte relief requested)

Petitioner, __________, having filed a Petition for Appointment of Guardian with Mental Health Powers [and Conservator], states:

1. Pursuant to A.R.S. § 14-5303(C) [and -5407(B)], the alleged incapacitated person [in need of protection] is [not represented by independent counsel.] [represented by (attorney’s name), whose address and telephone number are__________. This attorney’s relationship with the alleged incapacitated person [in need of protection] is __________ and the attorney’s relationship with Petitioner is _________.]

2. Pursuant to A.R.S. §§ 14-5303(C) and (D) [and -5407(B)], the alleged incapacitated person [in need of protection] [has an established relationship with (medical...