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HomeMy WebLinkAbout09-10-10ANNUAL REPORT OF GUARDIAN OF THE PERSON , ~ ' ~O ' ^ V! -~f' '~ V ..A . COURT OF COMMON PLEAS OF ~+ ~~,. ~ o Cumberland COUNTY, PENNSYLVANIA ~©~ ~-- _~ ORPHANS' COURT DIVISION c~ ~ sT ~ - --~ ~~ ~~-, - .~ Estate of Doris G. Barron No. 21-09-0738 I. INTRODUCTION an Incapacitated Person Franklin J. Barron and Cynthia L. Baum ,was appointed ®Plenary ®Limited Guardian of the Person by Decree of M• L. Ebert, Jr. , J., dated September 17, 2009 ® A. This is the Annual Report for the period from September 17 ~ 2009 to September 17 2010 (the "Report Period"); or ® B. This is the Final Report for the period from to (the "Report Period"), and is filed for the following reason: I . The death of the Incapacitated Person. Date of death: 2. The Guardianship was terminated by the Court by Decree of J., dated For a Final Report, omit Sections II through IV. Page 1 of 4 Form G-03 rev. 10.13.06 Estate of Doris G. Barron II. PERSONAL DATA Age of the Incapacitated Person: S 1 III. LIVING ARRANGEMENTS A. Current address of the Incapacitated Person: 416 East Green Street Shiremanstown, Pennsylvania 17011 B. The Incapacitated Person's residence is: ®own home /apartment an Incapacitated Person Date of Birth: May 9, 1929 ® nursing home ® boarding home /personal care home ~] Guardian's home /apartment ® hospital or medical facility ® relative's home (name, relationship and address) ®other: C. The Incapacitated Person has been in the present residence since 1973 If the Incapacitated Person has moved within the past year, state prior residence and reason(s) for move: Page 2 of 4 Form G-03 rev. 10.13.06 Estate of Doris G. Barron an Incapacitated Person D. Name and address of the Incapacitated Person's primary caregiver: Franlin J. Barron 416 East Green Street Shiremanstown, Pennsylvania 17011 Cynthia L. Baum (Co-guardian) 1127 Atland Drive Mechanicsburg, Pennsylvania 17055 IV. MEDICAL INFORMATION A. The major medical or mental problems of the Incapacitated Person are as follows: Psychosis, dementia, hypertension, thyroid, and cholesterol problems. Dates of doctor visits: 05/05/2009, 10/15/2009, 01/14/2009, 06/17/2020 B. Specify what, if any, social, medical, psychological and support services the Incapacitated Person is receiving: Under care of Dr. Julienne Fahnestock, M.D. 910 Century Drive Mechanicsburg, Pennsylvania 17055 V. GUARDIAN'S OPINION A. It is the opinion of the Guardian of the Person that the guardianship should: /®continue be modified ~ be terminated Form G-o3 rev. 10.13.06 Page 3 of 4 Estate of Doris G. Barron an Incapacitated Person The reasons for the foregoing opinion are: Mental status remains unchanged. B. During the past year, the Guardian of the Person has visited the Incapacitated Person 365 times with the average visit lasting 24 hours, minutes. The report of a social service organization employed by the Guardian 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 o the penalties of 1~~. § 4904 relative to unsworn falsification to authorities. ~ Y_"/ August 31, 2010 ~tti'h"'~ Date Signatrire of Guarduin of Person Franklin 3. Barron and Cynthia L. Baum Name of Guardian of the Person (type or print) 416 East Green Street Address Shiremanstown, Pennsylvania 17011 cry, stare, zlp 717 761 7729 Telephone Page 4 of 4 Form G-03 rev. 10.13.06