Minnesota district courts receive this statement in guardianship and conservatorship cases. The respondent's attending physician records the exam date, a diagnostic impression, the behavioral evidence supporting the petition, the diagnosis and prognosis, and an opinion on whether the person needs a guardian or conservator for their person, their estate or both. A second part covers inability to attend the hearing.
The respondent's attending physician completes and signs the whole two-page statement, including how long they have been the person's physician. The petitioner files it with the petition (GAC 2) in the district court case.
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Physician's Statement in Support of Guardianship/Conservatorship
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The respondent's attending physician, who states how long they have been the person's physician and the date of the examination. The physician describes the diagnostic impression, behavioral evidence, diagnosis and prognosis, gives an opinion on the need for a guardian or conservator, and signs with name and contact details.
The second part of the form lets the attending physician state that, because of the medical condition described in the statement, the person is unable to attend the hearing set for a given date. It is completed only when the person is physically unable to attend, and the court makes the decision.
Yes. Item 4 asks whether the physician is aware of a health care directive, a living will, or a similar document executed in another state and enforceable under Minnesota law. If the physician knows of one, the form asks for additional information about it.