Fill and Sign the Order Appointing Guardian for Adult Colorado Form

 District Court  Denver Probate Court __________________ County, Colorado Court Address: In the Interest of: Ward COURT USE ONLY Case Number: Division Courtroom ORDER APPOINTING GUARDIAN FOR ADULT Upon consideration of the Petition for Appointment of Guardian for the above ward and hearing on ________________________ (date), The Court has considered any express wishes of the ward concerning the selection of the guardian. The Court has considered the powers and duties of the guardian, the scope of the guardianship, and the priority and qualifications of the nominee. The Court finds, determines and orders: 1. Venue is proper and required notices have been given or waived. 2. The evidence is clear and convincing that the ward is an incapacitated person and the ward’s needs cannot be met by less restrictive means, including the use of appropriate and reasonably available technological assistance. 3. The nature and extent of the ward’s incapacity is as follows: 4. The Court appoints the following person as guardian for the ward: Name: Street address: City: State: Zip code: Primary phone #: Mailing address, if different: Email address: Alternate phone #: 5. The guardian shall promptly notify the Court if the guardian’s home address, email address, or phone number changes and/or of any change of address for the ward. 6. The guardian may not establish or move the ward’s custodial dwelling outside the State of Colorado without a Court order. JDF 848 R7/14 ORDER APPOINTING GUARDIAN FOR ADULT © 2013, 2014 Colorado Judicial Department for use in the Courts of Colorado Page 1 of 3 7. Within 30 days of appointment, the guardian shall provide a copy of this Order Appointing Guardian for Adult to the ward and persons given notice of the Petition and shall advise those persons using Notice of Appointment of Guardian and/or Conservator (JDF 812) that they have the right to request termination or modification of the guardianship. 8. The guardian shall file the initial Guardian’s Report - Adult (JDF 850) by ____________________ (date 60 days from appointment) and shall file annual Guardian’s Report - Adult (JDF 850) by each ________________________ (date) beginning in _____ (year), for the duration of the guardianship. 9.  The guardian shall manage the day-to-day finances for the support, care, education, health and welfare of the ward. The guardian is required to maintain supporting documentation for all receipts and all disbursements during the duration of this appointment. The Court further orders the following: 10.  Medical powers of attorney, whether executed prior to or following the entry of this Order, are terminated, except as follows: 11. Copies of all future Court filings shall be provided to the following interested persons: Name Relationship to the Ward Ward Guardian Spouse or Partner in a civil union Parent Adult Child 12. The guardian is authorized to access the ward’s medical records and information. The guardian is deemed to be ward’s personal representative for all purposes relating to ward’s protected health information, as provided in HIPAA, Section 45 CFR 164.502(g)(2). 13. The guardian does not have the authority to obtain hospital or institutional care and treatment for mental illness, developmental disability, alcoholism or substance abuse against the will of the ward. 14. If the ward is an “at risk elder,” and if the guardian has reasonable cause to believe that the ward has been abused or exploited or is at imminent risk of abuse or exploitation, the guardian is required to make a report to law enforcement within twenty-four hours after the observation or discovery pursuant to C.R.S. § 18-6.5-108(1)(b)(XII). 15. Letters of Guardianship shall be issued.  The powers and duties of the guardian are unrestricted.  The powers and duties of the guardian are limited by the following restrictions: JDF 848 R7/14 ORDER APPOINTING GUARDIAN FOR ADULT © 2013, 2014 Colorado Judicial Department for use in the Courts of Colorado Page 2 of 3 16. The Court further orders: Date: __________________________ ______________________________________  Judge  Magistrate JDF 848 R7/14 ORDER APPOINTING GUARDIAN FOR ADULT © 2013, 2014 Colorado Judicial Department for use in the Courts of Colorado Page 3 of 3