HomeMy WebLinkAbout09-28-09IN THE COURT OF COMMON PLHAS OF N
CUMBERLAND COUNTY, PENNSYLVAATIA c ~ a a.
ORPHANS' COURT DIVISION ~~ N ~~ _~
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O.C. No. 2I-p9-0459 ~` ~ ~ ~ ~': ~.; ,
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IIV Itfi: LOUIS1i CARL. r~
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AN ALLEGEDIIJCAPAC[TATEDFERSON ~~~= _ =-~-~
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I, Dr, Daryl Guistwite, am a licensed physician ( 1. I
have been licensed to practice in the Commonwealth of Peruisylvania since Z-O0 .
[ do hereby swear or affirm that within a reasonable degree of medical certainty I
believe that the above-referred to alleged incapacitated person should not attend the
Court hearing in Cumberland County Courthouse because, is :ny professional opinion,
her physical or mental condition would be harmed by the transportation to the
Courtroom and by her attendance at the Court hearing.
I have based my opinion on (a personal examination of the person) and/or
(examination of medical records). My diagnosis is as follows:
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b S~eop o~-o s `.s
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My prognosis is as follows:
(Piease attach additlottal gages if more space rs needed.)
Signature, DMy(DgCyL Guistwite
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