Loading...
HomeMy WebLinkAbout01-25-11 1 ANNUAL REPORT OF GUARDIAN OF THE PERSON COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ~~ ~~ !T ~ `~' __'~~ "- `'-~ t ~.J ,,~ ~T7 ~::7 C.:+ , ~~ r,,') r~, > ~._ ~~ ~-;-, ,-- ,; . -, . _ ..._ ~ t_ a __,._.. .._ ry C "- ,:.~ a _~ Estate of ROBERT C. WALLOWER an Incapapitate~ Person No. 21-09-1044 I. INTRODUCTION Lori I. Wallower vv~as ap~ointed ^ Plenary ®Limited Guardian of the Person by Decree of Edgaz B Bayley ~ J., dated December 1 S, 2009 ® A. This is the Annual Report for the period from December 15 ~ 2 ~ 9 to October 31 2010 (the "Report Period"~; yr ^ B. This is the Final Report for the period from to (the "Report Period"~, is (filed for the following reason: 1. The death of the Incapacitated Person. Date of death: 2. The Guardianship was terminated by the Court by Decree of For a Final Report, omit Sections II through Ii! Form G-03 rev. 10.13.06 J., dated Page 1 of 4 - _ __ - _ _ i i L._ __ Estate of ROBERT C. WALLOWER an Incapa~citateid Person II. PERSONAL DATA Age of the Incapacitated Person: 53 III. LIVING ARRANGEMENTS A. Current address of the Incapacitated Person: 1239 Timber View Drive Mechanicsburg, PA 17055 Date of Birth: 10/19V1~57 B. The Incapacitated Person's residence is: ®own home /apartment Q nursing home Q boarding home /personal care home © Guardian's home i apartment hospital or medical facility ^ relative's home (name, relationship and address) ^ other: C. The Incapacitated Person has been in the present residence since 2008 . If the Incapacitated Person has moved v~tithin the past year, state prior residence and reason(s) for move: Form G-03 rev. 10.13.06 Page 2 of 4 _ _ _ ____ _ J _~_J - - Estate of ROBERT C. WALLOWER an Incapalcitated Person D. Name and address of the Incapacitated Person's primary caregiver: Himself IV. MEDICAL INFORMATION A. The major medical or mental problems of the Incapacitated Person are a~ folloiws: Paranoid schizophrenia Slight heart murmur, leaky heart valve High triglycerides B. Specify what, if any, social, medical, psychological and support services ?the Incapacitated Person is receiving: Appointments every 7 weeks at Holy Spirit Mental Health Dept. Regular appointments with primary care physician, Richard Davis, M.D.' Weekly church, Sunday School and Bible study attendance and visiting ih horde with his mother, Betty Wallower V. GUARDIAN'S OPINION A. It is the opinion of the Guardian of the Person that the guardianship shaulal: ®continue ^ be modified ®be terminated Form G-03 ,~. to.r3.o6 Page 3 of 4 ~, -_ 3 Estate of ROBERT C. WALLOWER , an Incapacitated Person The reasons for the foregoing opinion are: Incapacitated p~r~pn .continues to need assistance in maintaining his mental, physical and psychiatric health and in making decisions about hl.s',health and safety. B. During the past year, the Guardian of the Person has visited the Incapacitated Person numerous times with the average visit lasting 1 hours, ~ minutes. Incapacitated person visits with his mother in the home of Guardian several times a week. 7~ie 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 Riepgrt 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 unsworn falsification to authorities. ~s if Date Signature of Guardian of the Person Lori I. Wallower Name of Guardian of the Person (type or print 12 Natures Crossing Address Enola, PA 17025 City, State, Zip 71?-329-9103 Telephone Form G-03 rev. 10.13.06 Page 4 of 4 ,._~