Fill and Sign the Wisconsin Guardianship Minor 497430999 Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF       Amended Letters of Guardianship of the Person of Minor       Date of Birth Case No.       To: Address:             You have been appointed: guardian co-guardian of the person. This is an appointment as a successor guardian. You have been appointed standby guardian and your authority to act commences on (date)       and continues through (date)       . You are issued Letters of Guardianship of the Person with the following powers or limitations: See attached. Co-Guardians must concur with each other when making decisions on behalf of the ward unless otherwise ordered by the court as follows:       . consent to medical examination and treatment, and consent to voluntary medication, including psychotropic medication that is in the minor’s best interests, if the guardian has first made a good-faith attempt to discuss with the minor the minor’s voluntary receipt of the psychotropic medication and the minor does not protest. Guardian of person’s authority: full limited       authorize minor’s participation in an accredited or certified research project if the research project might help the minor, or others if minimal risk of harm. Guardian of person’s authority: full limited       authorize minor’s participation in research that might not help the minor but might help others if greater than minimal risk of harm to the minor but evidence indicates minor would have elected to participate. Guardian of person’s authority: full limited       consent to experimental treatment in the minor’s best interests. Guardian of person’s authority: full limited       consent to receipt by minor of social and supported living services Guardian of person’s authority: full limited       consent to release of confidential records other than court, treatment, and patient health care records and redisclosure as appropriate. Guardian of person’s authority: full limited       power to make decisions related to mobility and travel . Guardian of person’s authority: full limited       GN-3340, 10/06 Letters of Guardianship of the Person of Minor §§54.18, 54.25, 54.46(5), 54.52 and Chapter 54, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 Letters of Guardianship of the Person of Minor Case No. _______ Page 2 of 2 power to choose providers of medical, social, and supported living services. Guardian of person’s authority: full limited       power to make decisions regarding educational and vocational placement and support services or employment. Guardian of person’s authority: full limited       power to make decisions regarding initiating a petition for termination of marriage. Guardian of person’s authority: full limited       power to receive all notices on behalf of minor. Guardian of person’s authority: full limited       power to act in all proceedings as an advocate of the minor, except the power to enter into a contract that binds the minor or the minor’s property or to represent the minor in any legal proceedings pertaining to the property, unless the guardian of the person is also the guardian of the estate. Guardian of person’s authority: full limited       power to apply for protective placement or for commitment. Guardian of person’s authority: full limited       power to have care, custody, and control of the minor. Guardian of person’s authority: full limited       other specific power(s):       See attached. The guardianship of the person terminates when the minor reaches age 18 unless the guardianship was ordered on grounds of incompetency, or upon marriage and the guardianship was not ordered on grounds of incompetency, upon death, or when otherwise terminated by the court or when otherwise provided by law. These Letters of Guardianship of the Person supersede any previously issued Letters of Guardianship of the Person of the Minor. Seal BY THE COURT: Circuit Court Judge/Court Commissioner       Name Printed or Typed       Date Name of Attorney       Address       Telephone Number       Bar Number       GN-3340, 10/06 Letters of Guardianship of the Person of Minor §§54.18, 54.25, 54.46(5), 54.52 and Chapter 54, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2