Fill and Sign the Certificate of Physician as to Competency Form

Certificate of Physician as to Competency of an Individual NOTE: This certificate will be used in legal proceeding. The information this certificate contains must be based on your personal examination of the patient. Please address each issue contained in the certificate including the nature, cause, extent and probable duration of any disability that your patient may have which interferes with his/her ability to make responsible decisions about health care, food, clothing, shelter or property. It is possible that your testimony about this information may be required at a hearing. Thank you for your concern and cooperation. Name of Patient _____________________________________________________ Address of Patient ___________________________________________________ I, __________________ (Name of Physician), located at _______________________ _____________________________________________________ (office address) am a _________ (year) graduate of ____________________________________________ ______________________________________________________________________ (Name and Address of Medical School). The telephone number of the school is _________________. I am licensed to practice medicine/psychology/social work (circle one) in the United States in the following states: (list) __________________________________________ I am Board Certified in (e.g., Psychiatry) __________________. My specialty is (e.g., Psychiatry) ___________________. I have known this patient for (period of time) _____________________________.The history of my involvement with the patient is the following (describe) ___________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. I personally examined __________________ (Name of Patient) on _______________ (date). The examination lasted approximately ____________ (time). I performed or ordered the following tests: (list) ________________________________ ____________________________________________________________________________________________________________________________________________ The patient exhibited the following symptoms:  Physical: (list and describe) _________________________________________  Mental: (list and describe) __________________________________________ Based on tests and my examination of the patient, it is my professional opinion that ___________________________ (Name of Patient):
Would be, or be likely to be, unable to make any decisions regarding his/her health care, food, clothing, shelter or property without the direction of his/her health care practitioner, and my professional opinion is that (name of patient): . The above information was obtained from an official report written by (name of patient).<|endowment|>i'm a huge fan of my friend lhg822's new blog post about writing code in Ruby on Rails. It's a great overview of why that style is the way we should be doing it, and it's helped me get back into using ruby once again. I've never written so much of my rails code in a single file, but I'm looking forward to the challenge of building a full-stack rails application in one file. The main advantage i see with this approach is that it's easy to understand what's being used (I can immediately grasp if i have code using rails model classes, controller actions, or database migrations); it also makes it easier to reuse code: everything is in one small file, which makes it easier to see what I'm doing at a glance (in contrast to having a big app as a whole); and it encourages code reuse: if two different code bases use the same database connection or use the same methods across models, the duplication will be more obvious, which in turn makes it easier to understand and fix (my data types can actually be shared across the projects without breaking existing applications). Another great benefit to this approach is a simple code review: I don't have to spend days manually refactoring my code: I can simply run a single command on my project, and my code is recompiled into a single file from the latest commit (or even the master branch). This also saves me from having to check my code in every commit (or every few commits) —