STATE OF SOUTH CAROLINA	)
)	IN THE PROBATE COURT
COUNTY OF:	)
)	ORDER APPOINTING PHYSICIAN/EXAMINER
IN THE MATTER OF:	)
)	CASE NUMBER:

GUARDIANSHIP

CONSERVATORSHIP

Upon reading the petition in the above matter, I hereby appoint M.D. and , who are directed to report to this Court their findings as to the person’s mental condition, utilizing the Court’s established examiners guidelines, and their opinion as whether the captioned person is an incapacitated person*; and if so, whether that person needs a guardian** and/or conservator*** to be appointed by this Court for him or her.

Executed this day of , 20 .

, Probate Court Judge

*	“Incapacitated person” means any person who is impaired by reason of mental illness, mental deficiency, physical illness or disability, advanced age, chronic us of drugs, chronic intoxication, or other cause (except minority) to the extent that he lacks sufficient understanding or capacity to make or communicate responsible decisions concerning his person or property.

**	A “guardian” of an incapacitated person has the same powers, rights, and duties respecting his ward that a parent has respecting his unemancipated minor child; has custody of the person of his ward; shall make provision for the

care, comfort, and maintenance of his ward and arrange for training and education; and may give consents for

medical or other professional care, counsel, treatment, or service.

***	A “conservator” manages, protects, and preserves the estate, assets, money or property of any incapacitated

person; and extends funds as needed for the support, care, and welfare of the person or those entitled to be supported by him.

FORM #533PC (2/2004)

62-5-303, 62-5-407

STATE OF SOUTH CAROLINA

2004-02-09

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