FORM MH-119 GD order apptg

• Legal Form Number: FORM MH-119
• Date: 01 January 2014
• Section: Az Mh Forms Annotated

FORM MH-119

[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: An Adult. NO. __________ ORDER APPOINTING GUARDIAN WITH MENTAL HEALTH POWERS Hearing on __________ at __________

Warning: This appointment is not effective until the “Letters of Appointment” have been issued by the Clerk of the Superior Court.

Having considered the Petition for Appointment of Guardian and for Authority to Consent to Inpatient Mental Health Care and Treatment and the evidence presented, the Court finds:

1. Petitioner, __________, is entitled to file the Petition pursuant to A.R.S. § 14-5303.

2. Venue in this county is proper.

3. Notice was given as required by law.

4. By clear and convincing evidence, [ward’s name] is an incapacitated person as defined by A.R.S. § 14-5101(1); the appointment of a guardian [with limited powers] is necessary to provide for [his] [her] demonstrated needs; and [some of] [his] [her] needs cannot be met by less restrictive means including the use of appropriate technological assistance.

5. By clear and convincing evidence, [ward’s name] is an incapacitated person as a result of a mental disorder as defined by A.R.S. § 36-501(25) and is likely to be in need of inpatient mental health care and treatment within the next year.

6. Pursuant to A.R.S. § 14-5311(B), [nominee’s name] is qualified to serve as the guardian of [ward’s name] [and has priority for such appointment].

7. [Ward name]’s right to retain or obtain a driver license should [not] be affected by the appointment of a guardian.

[8. A limited guardianship being appropriate, the ward’s right to vote and to exercise any other civil rights are retained.]

9. Bond is [not required] [required in the amount of __________].

IT IS ORDERED:

A. [(Nominee’s name) is appointed as the guardian of (ward’s name) with all of the powers set forth in A.R.S. §§ 14-5312 and -5312.01(A), including but not limited to the power to consent for Ward to receive psychiatric and psychological care and treatment if such care and treatment takes place outside a level one behavioral health facility licensed by the Arizona Department of Health Services.] [(Nominee’s name) is appointed as the guardian of (ward’s name) with limited powers as defined in the paragraph ___ below, including but not...