Transcription of GC-335 Capacity Declaration—Conservatorship
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GC-335 Capacity Declaration—Conservatorship
Form Adopted for Mandatory Use Judicial Council of California GC-335 [Rev. January 1, 2019] Capacity DECLARATION CONSERVATORSHIPP robate Code, 811, 813, 1801, 1825, 1881, 1910, 1 of 3 SUPERIOR COURT OF CALIFORNIA, COUNTY OFBRANCH NAME:CITY AND ZIP CODE:STREET ADDRESS:MAILING ADDRESS:CONSERVATEEPROPOSED CONSERVATEEFOR COURT USE ONLYCASE NUMBER: Capacity DECLARATION CONSERVATORSHIPATTORNEY OR PARTY WITHOUT ATTORNEYSTATE:ZIP CODE:CITY:STREET ADDRESS:FIRM NAME:NAME:TELEPHONE NO.:FAX NO.:E-MAIL ADDRESS:ATTORNEY FOR (name):STATE BAR NUMBER:GC-335TO PHYSICIAN, PSYCHOLOGIST, OR RELIGIOUS HEALING TO ATTEND COURT HEARINGCONSERVATORSHIP OF THE OF (Name):PERSONESTATEThe purpose of this form is to enable the court to determine whether the (proposed) conservatee (check all that apply):is able to attend a court hearing to determine whether a conservator should be appointed to care for him or her.
B. has the capacity to give informed consent to medical treatment. (Complete items 6 through 8, sign page 3, and file pages 1 through 3 of this form.) C. has a major neurocognitive disorder (such as dementia) and, if so, (1) whether he or she needs to be placed in a secured-
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