HomeMy WebLinkAbout97-0155Rf
Clerk of Orphans' Court of Cumberland County
IN 13E: Dorothy E.
An Incapacitated Person
Docket No. 21-97-155
~i rt AL
4L REPORT OF GUARDIAN OF THE PERSON
I. Neighborhood Services ,was /were appointed
plenary guardian(s) of the person of Dorothy E. Fry
by Decree of the
Honorable Judge George Hoffer ,dated os/O5/1ss7 F`ttA1.
. This is mye~ual report for
the period from 05/0-5/2006 to 08/27/06
("The Report Period").
1. Present age of the incapacitated person:
77 Yrs.
2. Current address of the incapacitated person
West Shore Health 8 Rehabilitation Center
770 Poplar Road
Camp Hill, PA. 17011
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3. The incapacitated person's residence is: -, `
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^ own home/apartment rv
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p nursing home _-
^ boazding home/personal caze home ~i
p guazdian's home/apartment
O hospital or medical facility
^ relative's home
and relationship)
^ other:
~,..,,,,
4' The incapacitated person has been in the present residence since March of 1 sso
. If
the incapacitated person has moved within the past yeaz, state change and reason(s) for
change:
5 Name and address of the incapacitated person's primary care giver:
Dr. Thomas Kunkle
500 Brandt SAvenue
New Cumberland, Pa. 17070
6. The major medical or mental problems of the incapacitated person are as follows:
Dimentia, CVA with aphasia, and seizure disorder
~ Specify what, if any, social, medical, psychological and support services the incapacitated
person is receiving:
Dorothy was taking dilantum and vitamins. Seen by Hear-say Hearing for examination.
All health and social needs well attended by Staff.
8 It is our opinion as guazdian of the person that the guazdianship should: (check one)
O continue, ^ be modified, O be terminated. (Briefly explain your response)
Dorothy passed away on 08/27/2006
9. During the past yeaz, I have visited the incapacitated person 2 times with the
average visit lasting
between 15 min - 40 min
(State number of hours/minutes, etc.)
The report of a social service organization employed by the guazdian to oversee and coordinate
the care of the incapacitated person for the period covered by this report may be attached to
supplement this report.
I verify that the foregoing information is correct to the best of my knowledge, information and
belief; and that this verification is subject to the penalties of 18 Pa. C.S.A. §4904 relative to
unswom falsification to authorities.
s/2o/os
. ~ Q-~ Fie
Date Signature of Guardian
Ue~~hhv~h~~. Sc~v`t-~S
* FILING FEE $15 MUST ACCOMPANY THIS FILING.