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HomeMy WebLinkAbout03-0347IN THE MA,, ,'R OF FRED L. WILSON, an alleged Incompetent : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION :.o. : GUARDIANSHIP - INCAPACITATED PERSON PETITION FOR APPOINTMENT OF ( UARDIA;' NOW comes petitioner, Linda L. Wilson, by her attorney, Nathan C. Wolf, Esquire, and presents this petition for appointment of guardian of the person of Fred L. Wilson, an alleged incompetent, representing as follows: 1. Petitioner is Linda L. Wilson, an adult individual residing at 85 Appalachian Drive, Carlisle, Cumberland County, Pennsylvania 17013. 2. The alleged incapacitated person is Fred L. Wilson, born March 31, 1935 (age 68 years), residing at 85 Appalachian Drive, Carlisle, Cumberland County, Pennsylvania 17013. 3. The alleged incapacitated person has been mentally incapacitated since Monday, April 14, 2003 and has lived at his address with petitioner, his wife, since 1974. According to his physician, Fred's prognosis is guarded and he is suffering from paralysis secondary to a severe stroke. He is incapable of caring for his own basic needs, both in his personal finances and physical needs, and is unable to properly follow the directions of his physicians for his own health care. He presently has a serious medical condition requiring serious medical attention for the foreseeable future. This condition renders the alleged incapacitated person incapable of executing a power of attorney, authorizing his wife to conduct business on his behalf and to manage the household finances and to access the only sources of family income. (See letter from J. Craig Jurgensen, M.D., attached hereto as Exhibit "A"). 4. The following persons are the alleged incapacitated person's next-of-kin: Linda L. Wilson (of Carlisle, Pennsylvania, petitioner and wife of the alleged incompetent), Lorrie D. Perry (of Chandler, Arizona, daughter of the alleged incapacitated person), Scott A. Wilson (of Carlisle, Pennsylvania, son of the alleged incapacitated person), Tawnya D. Wilson (of Carlisle, Pennsylvania, daughter of the alleged incapacitated person), and Kelli D. Fowler (of Fayetteville, North Carolina- daughter of the alleged incapacitated person). 5. The consent of the petitioner as his next-of-kin is incorporated herein and attached hereto as Exhibit "B". 6. Petitioner has no knowledge of any other Court within this Commonwealth which has appointed a guardian for the alleged incapacitated person. 7. The alleged incapacitated person's assets include an investment account held with Gibbs Financial Services, a pension plan administered by SEI Private Trust Company, a tenancies by the entireties interest in the marital home at 85 Appalachian Drive, Middlesex Township, Cumberland County, Pennsylvania, and a checking account held at M & T Bank. His income is limited to pension, investment and social security distributions on a monthly basis, but the distributions are directly deposited into the M & T Bank checking account. 8. Petitioner has no interest adverse to the alleged incapacitated person and has agreed to act as guardian if this Honorable Court shall so appoint. WHEREFORE, petitioner respectfully requests this Honorable Court set a hearing at which the averments of this petition may be documented and the appointment of petitioner as guardian for the alleged incapacitated person may be considered, with notice thereof to be given to such persons as this Court may direct. Petitioner further requests that a guardian ad litem be appointed to act for the alleged incapacitated_ perls(~n ~,e~g~a~,d~g any necessary hearings. Fin~a~l~,, due to,he em,ergency _ an.d im, m, edia~s of the alleged inc_apacitated Derson, ~-,otabN-,,~',~ ,,~d~r ---m~....mee.,ate su.'~e.5, as decu..me.qted .,'-~. Dr. ;%'o;do,~ t=-';'~d Dr. ', ~eck, petitioner reauests that she be appointed temporary guardiarffor t~; purposes of providing consent and other assistance regarding medical needs pending a final hearing on this matter. . April ~,-~, 2003 ANtAt~neLe~rQUIRE 35 East High Street Suites 201/202 Carlisle, PA 17013-3052 717-243-6090 Supreme Court ID No. 87380 IN THE MA', t ER OF : IN THE COURT OF COMMON PLEAS OF FRED L. WILSON, an alleged Incompetent : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION : NO. : GUARDIANSHIP - INCAPACITATED PERSON COMPETENCY AFFIDAVIT I, J. Craig Jurgensen, M.D., being duly sworn according to law, depose and say that I am a licensed physician in the Commonwealth of Pennsylvania employed by Belvedere Medical Corporation. I have examined the alleged incapacitated person, Fred L. Wilson, with care and diligence. Based upon said examination and observation, I am of the opinion that he is currently incompetent to manage his own affairs and that there is no expectation of his immediate recovery within a reasonable degree of medical certainty. In addition, it is my opinion that no useful purpose would be served by Mr. Wilson's appearance at a hearing to adjudicate his competency and, in fact, attendance at such a hearing could well be adverse to his well-being. Sworn to and subscribed before me this / day of /~/--)/ ,2003. ry Pubfic ~ [~ Notarial Seal Joan L. Stouffer, Notary Public Carlisle Bom, Cumberland County My Commission Expires Nov. 9, 2003 Member. Pennsylvania Association of Notaries EXHIBIT "A" IN THE MA. ,ER OF FRED L. WILSON, an alleged Incompetent : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION : NO. : GUARDIANSHIP - INCAPACITATED PERSON CONSENT OF PROPOSED (~UARDIA;; I, Linda L. Wilson, do hereby certify that I am willing to act as guardian of the person of Fred L. Wilson, if the Court shall so appoint me. Further, I do hereby certify that I am not a fiduciary of any estate in which the alleged incapacitated person has an interest, nor have I any interest adverse to him. The facts and opinions contained herein are true and correct to the best of my knowledge, information and belief. Lin~la/L. WilsOn~ Sworn to and subscribed before me this 7~,t ~ Notary Public I .^.om s. ,.v... .u c j CARLISLE BOROUGH, GOUN3Y OF CUMBERLANDI MY COMMISSION ~ OCTOBER 22, 2006 I EXHIBIT "B" Ma~ Ol 03 OD:53a Miohelle Gu~ton 717-DBO-D262 AFFIDAVIT OF SERVICE Commonwealth of Penltsyivania County of Cumberland case Number: 21-03-347 P~aintiff: vs. Respondent: IN RE[: Fre~ L. Wilson An AJleged Incompetent For: Nathan Wolfe Law oE~ce of Hal In,in Received by ROMINGER LEGAL o 1 the 24th day of April 2003 al 2'25 pm to be ~H~alth.$,outh Rahab t75 La.caster Bird Rm 21a-D. I~han;--~.,-- D. , se~ ~rv~d__on FRE~D g ~WILSON at: · - "~-"U, ~. , {~j~rlV~ --% C< ~e,ng au,y sworn, depose and say t ~at on the Z-~'.~ day of /~'~'~.~ ,20~8~ at t~..~__.'-3-~.-.-~.-~ xecute(~ ' sen4ce by delivering a true copy of'he in accordance with state slatutes in the manner marke~ belo v: /~IVIDUAL SERVICE: 5erred t le within-named person. ( ) SUBSTITUTE SERVICE: By sen mg __ as Com~ on Pleas Court ( ) POSTED SERVICE: After attem; ting service on / at and on / at place on the property described her,~in. ' ~ ~ - ~ . ( ) NON SERVICE: For the reason ( eteiled in the Comments below. Military Status: ( ) Yes or ( ) No If yes, what branch? Marital Status: ( ) Married or (). ;ingle Name of Spouse COMMENTS: ,~/_O__7~'C_~.__.7~ ~)l~'~,,~J:) i/~A~. ~.F,~_,~___. ~...~_~_~),~-'"__ ~ I certify that I have no interest in the. ~bove action, am of legal age and have proper authority in the jul sdiction in which this service was made. to a { 3nspicuous Subscribed and Sworn to before me on the '.'.'~' ~/~ day of /~/~'/',/.. ~mant ~ - ?~z~ .~, by the personally KnOWn to me. PROCESS SERVER # _ Appointed in accordance with State Statutes RO~INGER LEGAL NOTAR¥~U BLiC ~:3r~at ~ ...... '-]155 S. Hanover St. ~-~~ ~arlisle, PA 17013 ~~r~~ ~717) 9~-92~ ~' ~ ~; ~~ ~ Our Job ~1 Number: 2003000073 NATHAN C. WOLF, ESQUIRE ATTORNEY ID NO. 87380 35 EAST HIGH STREET CARLISLE, PA 17013 (7t 7) 243-6090 ATTORNEY FOR PETITIONER IN THE MA, ;EROF FRED L. WILSON, an alleged Incompetent : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION : NO. 21-03-347 : GUARDIANSHIP - INCAPACITATED PERSON CERTIFICATE OF SERVIC; I, Nathan C. Wolf, Esquire, do hereby certify that I personally served a copy of the Petition for Guardianship, Preliminary Order of Court, and Citation, dated April 23, 2003, seeking cause why petitioner should not be appointed guardian of the estate of Fred L. Wilson, the alleged incapacitated person, upon Kelli D. Fowler, daughter of Fred L. Wilson, the alleged in capacitated person, at 35 East High Street, Carlisle, PA, on April ~ , 2003, at~0o o'clock_/~__..m. April ~, 2003 ACKNOWLEDGMENT OF SERVICI= I, Kelli D. Fowler, next-of-kin of the alleged incapacitated person, do hereby certify that I was served with a copy of the petition for guardianship filed in this matter, a copy of the citation with notice, and a copy of the Preliminary Order of Court of April 23, 2003 with Notice of the hearing in this matter by personal service on April 2 ~_._, 20~_. April ?-~, 2003 Kelli D. ~=owler NATHAN C. WOLF, ESQUIRE ATTORNEY ID NO. 87380 35 EAST HIGH STREET CARLISLE, PA 17013 (7t 7) 243-6090 ATTORNEY FOR PETITIONER IN THE MA~ ~ER OF FRED L. WILSON, an alleged Incompetent : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION : NO. 2t-03-347 : GUARDIANSHIP - INCAPACITATED PERSON CERTIFICATE OF SERVIC~ I, Nathan C. Wolf, Esquire, do hereby certify that I personally served a copy of the Petition for Guardianship, Preliminary Order of Court, and Citation, dated April 23, 2003, seeking cause why petitioner should not be appointed guardian of the estate of Fred L. Wilson, the alleged incapacitated person, upon Tawnya D. Wilson, daughter of Fred L. Wils. on, the alleged in capacitated person, on April o~/ , 2003, at~:~)O o'clock._~__.m, at 35 East High Street, Carlisle, PA, April ~/, 2003 ACKNOWLEDGMENT OF SERVICE I, Tawnya D. Wilson, next-of-kin of the alleged incapacitated person, do hereby certify that I was served with a copy of the petition for guardianship filed in this matter, a copy of the citation with notice, and a copy of the Preliminary Order of Court of April 23, 2003 with Notice of the hearing in this matter by personal service on April 2 ~/', 200~. April <~/, 2003 T~vl~ya D. Wilson - - - NATHAN C. WOLF, ESQUIRE ATTORNEY ID NO. 87380 35 EAST HIGH STREET CARLISLE, PA 17013 (7t 7) 243-6090 ATTORNEY FOR PETITIONER IN THE MA, ,ER OF FRED L. WILSON, an alleged Incompetent : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION : NO. 21-03-347 : GUARDIANSHIP - INCAPACITATED PERSON CERTIFICATE OF SERVICF I, Nathan C. Wolf, Esquire, do hereby certify that I personally served a copy of the Petition for Guardianship, Preliminary Order of Court, and Citation, dated April 23, 2003, seeking cause why petitioner should not be appointed guardian of the estate of Fred L. Wilson, the alleged incapacitated person, upon Scott A. Wilson, son of Fred L. Wilson, the alle~qed in capacitated person, at 35 East High Street, Carlisle, PA, on April ~ .c/, 2003, at ~): 0-(2 o'clock ._~___.m. April,' 2003 ACKNOWLEDGMENT OF SERVIC; I, Scott A. Wilson, next-of-kin of the alleged incapacitated person, do hereby certify that I was served with a copy of the petition for guardianship filed in this matter, a copy of the citation with notice, and a copy of the Preliminary Order of Court,of April 23, 2003 with Notice of the hearing in this matter by personal service on April 2_~, 200.,z?. April ~'~, 2003 Scott A. Wilson NATHAN C. WOLF, ESQUIRE ATTORNEY ID NO. 87380 35 EAST HIGH STREET CARLISLE, PA 17013 (7t 7) 243-6090 ATTORNEY FOR PETITIONER IN THE MA", I ER OF : IN THE COURT OF COMMON PLEAS OF FRED L. WILSON, an alleged Incompetent : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION : NO. 21-03-347 : GUARDIANSHIP - INCAPACITATED PERSON CERTIFICATE OF SERVICF I, Nathan C. Wolf, Esquire, do hereby certify that I personally served a copy of the Petition for Guardianship, Preliminary Order of Court, and Citation, dated April 23, 2003, seeking cause why petitioner should not be appointed guardian of the estate of Fred L. Wilson, the alleged incapacitated person, upon Lorrie D. Perry, daughter of Fred L. Wilson, the allege~ in capacitated person, at 35 East High Street, Carlisle, PA, on April ~, 2003, a~_~:~ o'clock ~_.m. Apr'/, 2003 ACKNOWLEDGMENT OF SERVIC,= I, Lorrie D. Perry, next-of-kin of the alleged incapacitated person, do hereby certify that I was served with a copy of the petition for guardianship filed in this matter, a copy of the citation with notice, and a copy of the Preliminary Order of Court of April 23, 2003 with Notice of the hearing in this matter by personal service on April 2__~, 200_~ April (;~, 2003 AP~-2g-03 03:43P~ F~O~-PHYSICIANS OF ~EHAB blED 7175913834 T-362 P.02 F-741 Michael F. Lupinacci, M.D. Page 1 Date of Birth: Place of Birth: Hom~ Address: Offi~ Address: ~ Telephone: Education: CURRICULUM VITAE MICHAEL F. LUPINACCI, M.D. November 17, 1954 Westerly, Rhode Island 2879 Ford Farm Road Mechanicsburg, PA 17055 President Physkians of P,~habilimfion, Industrial arid Spine Medicine, P.C. P.O. Box 2028 175 Lancamer Boulevard Mechanicsburg, PA 17055 (717) 691-3755 Undergraduate. B.S. Degree, Georgetown University Washington, D.C., 1976 Graduate - Graduate Study in Genetics Georgetown University Graduate School Washington, D.C., 1976-1977 Medical - M.D. Degree Georgetown University School of Medicine Washington, D.C., 1981 Internship- Tuffs University School of Medic/ne Afh'i{~l Hospitals Boston, Massachusetts, 1981 - 1982 Residency- Baylor College of Medicine Houston, Texas, 1985- 1988 Physical Medicine and Rehab~ation Chief Resident, 1987- 1988 AP~-Z9-03 93:44P~ F~O~-PH¥$1CfAN$ OF REHAB ~ED 7176913834 T-36Z P.03/18 F-741 Curricu~ Vfta~ Micha~l F. Lupi~c, cf, M.D. Page 2 L/censure and Cert~n: Honors, Awards, and Ckations: Academic National Boards, 1982 FLEX, 1987 Texas State License, 1987 Pennsylvania State License, I988 Board Certification, Physical Medicine and Rehabilitation, May, 1989 American Association of Eleotro diagnostic Medicine, Associate Me~, I989 American College of Physician Executives~ Associate Member, 1990 American Academy of Pain Management, Diplomat¢, 1992 Physiatric Association of Spine, Sports ami Occupational Rehabilitation (PASSOR), Fellow, 1994 ~ ~an Board of Independent Medical Examiners, July, 1996 C~rtifled, American Board of Pain Manage, m~, September, 2002 United States Air Force, Medical Corps, Egtin Air Force Base, Florida Captain, 1982 - 1985 Flight Surgeon, I6' Spec/al Operation Squadron, 1982-1983 Flight Surgeon, 3247a Test Squadron, 1983-I985 Medical Director, Special Projects Division, 1983-1985 B.S. Magna Cum Laude Hugh H. Husscy S~hohrship USAF Armament Division Nom/neo for F1/ght Surgeon of the Year, 1985 Air Force Commendation Medal, 1985 Krusen Award for Outstanding Resident Research, 1987 Chief Resident, Physical Medicine and Rehabilitation Baylor College of Medicine, 1987- 1988 Leadership Recognition, Positive Mcdicinc Projcct, Honor Roll List of The Most Positive Ph¥sic~s ~l~lj~ 1996 Spec/al Award for Outstanding Medical Conm3mions, Healthgouth Corporation, March, I997 Assistant Insmictor, Department of Physical Medicine and Rehab'~at/on Bayior College of Medicine Houston, Texas 1987- 1988 AP~-zg-D3 03:44P~ FRO~-PHY$1CIANS OF REHAB ~D 71~g13834 T-3~2 P.04/18 Curriculum Vitae Michael F. Lupinacci, M.D. Pago 3 Cut'tent Administrate Appoimm~nts: Instructor, Depanmem of RehabilitaXion Medicine Thomas Jefferson University Hospital Jefferson Medical College Philadelphia, PA 1988 - 1990 Preceptor, Bryn Mawr Hospital Famgy Medicine Residency Program, Bryn Mawr, PA 1988 - ! 990 Clinical Assistant Professor of Medicine and Surgery, The College of Medicine of the Pennsylvania State University Hershey, PA 1992 - Present Physicians of Rahabilitation Industrial an~ Spizle Medi¢it~ CPRISM),P.C. President and CEO, 1990 - Present Medical StaffExecutive Commitlee Healt~ourh Rehal~arion Hospital Mechanicsburg, PA 1990 - Presem Medical staffQuality Improvcrmm Committee HealthSo~ Rehabilitation Hospital Mechanicsburg, PA 1990 - Present Program Director, Brain Injury Program Fl~outh Rehabilitation Hospital M¢chanicsburg, PA 1990 - Present Governing Board HealthSouth Rehabilitation Hospital Mechanicsburg, PA Medical Member, 1990 - Presem Medical Director HeakhSomh Rehabilitation Hospital Mechanicsburg, PA 1993 - Presem Program Director - Rehabilitation Services HeakhSouth Hospital for Sl~¢ial Services (LTAC) Mechanicsburg, PA 2001 - Presem APR-Zg-03 03:44P~ FRO~-PH¥$1CIAN$ OF R£HAB ~D 717~g13834 T-3~2 P.05/18 F-?4I Cm'ri~lum Vim~ Michae! F. Lupim¢¢i. M.D. Parc 4 Pro~m Director Healfl~South Rehab of Mechan/csburg Mechan/csburg, PA 2001 - Present Medical Education Committee American Academy of Physical Chair 200 ! - Present Medicine and Rehabilitation Past ~ve Appointment: Medical Director HealthQucst- Work Capacity Asses.waem Program Harrisburg, PA 2002 - Present Graduate Medical Education Committcc Depmtn~nt of Physical Medicine Baylor College of Medicine, Houston, Texas Committee Member, 1987- 1983 Chairman, Baylor College of Medidnc Department of Physical Medicine and Rehabilitation Alurrmi Association, Houston, Texas, 1988 - 1994 Chairman, Education and Research Committee Bryn Mawr Rehabilitation Hospital Malvern, PA 19811- 1990 Director, Resident Education Program Bryn Mawr Rehabilitation Hospital Malvern, PA I988 - 1990 Quality A-~,'m'sz,ce/L]'~lization Review Committee Bryn Mawr Rehabil/t~on Hospital, Malvern, PA Medical Member, 1988 - 1990 Cl.-mm, Medical Records Comn~ee Bryn Mawr ~n Hospital Malvern, PA 1989 - 1990 APR-29-03 03:44PM FRO~-PHY$1CIAN$ OF RENAB k4ED 7176913634 T-362 P.06/18 F-?4I Curriculum Michael F. Lupi~ac¢i, Page $ Main Line Health Trauma Task Force Main Line Health Corporation, Radnor, PA Medical Member, 1989 - ! 990 Medical Group Management Corr~Xtce Bryn Mawr Rehabi/ita~n Hospital, Malvern, PA Medical Member, 1989 - 1990 Bryn Mawr Rehaln]itatian Hospital, Malvem, PA Medical Memt~, 1989 - 1990 Sec~tary/Treasuro- Medical Staff and Executive Med/cal Staff Bryn Mawr Rehabilitation Hospital Malvem, PA 1989 - 1990 Physician Co .ml%msafion Task Force Bryn Mawr Rehabilitation Hospital, Maivem, PA Medical Member, 1989- 1990 Program Director, Amputee Program Bryn Mawr Rehabilkation Hospital Malvem, PA 1990 Program Platming and Management Committee Bryn Mawr Re. habi/~tion Hospital, Malvem, PA Medical Memixu-, 1990 Program Director, Museuloskeletal Injury Rehabilitation Program Meehanicsburg Rehab Systems Meehaniosburg, PA 1990- 1991 Educational Processes Subcommittee of the Medical Education Committee American Academy of Physical Medieir~ and RehaSh 1990 - 1995 Physician Advisory Board National Med/cal Enterprises, Rehab Div/s/on Mecl~icsburg, PA Medical Member, 1991 - 1993 AP~-2g-O3 03:45PM ;RO~PHY$1CIAN$ O; REHAB ~.D 7175913834 T-352 P.O?/I~ ;'741 Curriculum Vitae Michael F. Lupiuacci, M.D. Page 6 Quality Assurancc Commi~ee American Academy of Physical Committee Member 1992 - 1994Medicine and Rehabilitation American Academy of Physical Medicine and Rehabilitation EPS Liaison, 1993 - 1995 Health,South Product Line Development Committee Cr/tical Pathways Development Medical Member, 1994 - 1995 C. enua/Pcnnsylva.;~ Physicians Organization Utilization Review Committee Commktec Member, 1995- 1996 Strategic Managemem Committee for Education and Reseamh Ameri~ Academy of Physical Medicin~ and Rehabflitation Committee Member, 1995 - 1998 Program Planning Subconanittee of the MeAical Education American Academy of Physical Medicine and R~on Committee Member, 1995 - 1999 National Medical Director, HealthSouth Corporation 1997- 1999 Medical Director, Outlook Pointe, Harrisburg, Pennsylvania Balanced Care Corporation 1998 - 1999 Program Director, Young Stroke Program Health~uth Rehabilitation Hospital Mechanicsburg, PA 1993 - 2000 Physician Adviso~ Board, HealthSo~ Corporation Meml~, 1995 - 1997 Co-Chainnan, 1997 - 2000 Health Services Advisory Board, Balanced Care Corporation 1996 - 2000 AP~-2g-03 03:45PM FRO~-PHYSICIANS OF REHAB ~ED 7176913834 T-352 P.08/18 F-741 Curriculum Vitae Michael F. Lupinacci, M.D. Page 7 Regional Medical D/rector, Mid-Atlamic Region HealthSouth Corporation~ 1996 - 2000 Phys/cian Credent~ing Co .mmdttee HeakhSomh Corporation 1998 - 2001 Program Planning Subcommittee of the Med/cal Education Committee Amer/can Academy of Physical Med/ciae aha R~t/on Chairman 1999 - 2001 - -- Hosp/tai Appo/ntme~s: Holy Spirit Hospital, Camp Hill, PA Active Staff, 1990 - Presmt Harrisburg Hospital, Harrisburg, PA Active Staff; 1990- Present HcalthSouth Rehabil/tation Hospital of Mechanicsburg Medical Director, 1990 - Present Carlisle Hospital, Carlisle, PA Consulting Stafl~ 1991 - Present Polyclinic Medical Center, Harrisburg, PA Consulting Stafl~ 1992 - 1996 Active Staff; 1996 - Present Community General Osteopathic Hospital, Harrisburg, PA Active Staff 1998 - Presenl Professional Organizations: Angrkau Medical Association, 1981 - Present Association of Academic Physiatrists Ame_~ricau Academy of Physical Medicine and 1985 - Present AP~-29-03 03:4)P~ FRO~PHY$ICIAN$ OF REHAB ~D 7176913834 Curricu/um V/tae M/chael F. Lup/nacci, M.D. Page 8 Pennsyl~ Medical Society 1989 - Present Pennsylvania Physical Medicine_ and RehabR~mfion Socieq~ 1989 - Present Dauphin County Medical Society 1990 - Prcsem Physiatric Association of Spine, Sports, and Occupational Rehabilitation (PASSOR), 1994 - Present lm~nal Spinal Inject/on Society 1995 - Present Medical Group Man~_gcment Association, 1990 - Present Fina~ial Managemeut Society Integrated Healthcare Prac~e Society Phys/cal Medicine and Rehab/l/tat/on Assen~Jy Society for Physicians in Adminisu~ion Phys/atric Managcment of the Visually I ,mlmired Disabled Patiem Texas Physical Medicine and Rehab~kafion Society Fall Meeting Austin, Texas, September, 1987 Physiatric Management oflhe Visually Impaired Disabled Patiem Houston Physical Medicine arid Rehabilitation Society Fall Meeting Houston, Texas, October, 1987 Physhltic Management of the Visually Impaircd Disabht hti~t 1987 Annual Meet/rig of thc American Congress of Rchab/litation Medicine and the American Academy of Physical Mcdicinc and Rehabilitation Orlando, Florida, October, 1987 1994 Annual Meeting of Arn~_rican Academy of Physical Medicine and Rehabilitation, Program Coordinator APR-Zg-03 03:4~P~ FRO~-PH¥$1CIAHS OF REHAB ~ED 7175913834 T-35~ P.ll/18 F-?41 Curricuhun Vitae Michael F. Lupiuac¢i, M.D. Page 10 Prcpa~g for Physiatric Practice 1995 Anaual American Academy of Physical Medicine and Rehabilitation, Course Dir~tor Seattle, Washington Practice Environments, Preparing for Physiatric Practice I99g Annual American Academy of Physical Medicine and Rehabffitation Seattle, Washington Group Practic~ Leadership, Prepming for Physiawic Practice 1998 Annual American Academy of Physical Medicine and Rehabilitation Seame, Washington Physician Compliance. Academic Leadership Course. Academy of Academic Phydatrlsts, Orlando Florida, February 1999 Musculoskeletal Pain and EMG Tracks 1999 Anaual Assembly American Academy of Physical Medicine and Rehabilitation, Program Coordinator Wash~on, D.C. Preparing for Physimric Practice 1999 Ammal Assembly American Academy of Physical Mediciae and RehabR/tatioa, Course Director Washington, D.C. 1999 Annual Assembly American Academy of Physical Medicine and Rehabilitation Washington, D.C. Group Practice Leadership, Preparing for Physiauic Practice 1999 Annual Assembly Ameri~ Academy of Physical Medicine and Rehabilitation W~-~,__hagtou, D.C. - How to Make Your Rehab Hospital More Pro&able 1999 Annual Assembly Amerk, an Academy of Physical Medicine and Reh~_bitkatiou Washington, D.C. Physiv/an's Manag~ of Change 1999 Annual Assembly Am_.~..an Academy of Physical Medicine and Rehabilitation Washington, D.C. Practice EnvironmeuIs, Prepariug for Physiatr/c Practice 2000 Annual Assembly Americau Academy of Physical Medicine and Rehabilitation San Fra _,~o, California AP~-2g-~3 ~3:46PM FRO~PH¥$1CIAN$ OF REHAB MED ~1~$g13~34 T-352 P. lO/l~ F-?41 Curriculum Vitae Michael F. Lupinacci, M.D. Page 9 Practice Managemeut Track1995 Annual Me~'tiug of.American Academy of Physical Medicine aud Rehabilitation, Program Coordinator Orlando, Florida Disability Evaluation Program American Academy of Physical Medicine and Rehabilitation Certificate Program C, Program Director Chicago, Illinois, 1996 Physic/au Practice Management: Strategies for the Present Environ _~_ HealthSouth Corporation Auuual M~eting, Birm'_,ngham, ^l~__hama, Febnu~ I997 Medical Staiflssues Under Managed Care, pres~ted at The Howard Rusk Imemational Symposium on Neurologic Rehabilitation, August 1997 Management of Fibromyalgia in a Work Comp Setting HealthSouth Rehabflkation Hospital Mechanicsburg, PA March 2000 Musculoskeletal Track 1997 Annual ' Rehabi]ita~n, Program CoordinatorMeeting of American Academy of Physical Medicine and Atia~ Oeorgia Musculoskeletal Pain and EMG Tracks 1998 Annual Assembly American Academy of Physical Medicine and Rehabilitation, Program Coordinator Seattle, Washington. Healthgouth Universi~ for Medical Directors .Iuly 1998, Program Director Educational Marketing and Vohuue Develol:muent, HealthSouth University for Medical Directors July 1998 Birmi,,~am, A{abama Physic/an CompBance, HealthSouth University fur Medical Directors, July 1998 Managing Change, HealthSou~h University for Medical Directors, July 1998 APR-2g-03 03:46PM FRO~-PHYSICIAN$ OF REHAB ~D 7176913834 T-352 P.12/15 F-?41 Curriculum Vitae Michael F. Lupinacci, M.D. Page 11 Group Practi~ Leadership, Preparing for Physiatr/c Practice 2000 Annual Assembly American Academy of Physical Medicine and Relmbflitafion San Francisco, California Physician Leaders and the Management of~e Part I Prepared for 2001 Annual Assembly American Academy of Physical Medicine and Rehab~afion New Orleans, Louis/sm Physician Leaders and the M __a~a__gcment of Change Part II - An Intensive Workshop Prepared for 2001 Annual Assembly American Academy of Physical Medicine end Rehabilitation New Orleans, Louisiana Practice Environmea~, Preparing for Physiatric Practice 2002 Annual Assembly American Academy of Physical Medicine and Rein Orlando, Florida Group Practice Leadersh/p, Preparing for Physiatric Practice 2002 Annual As~g~mhly ~ Academy of Physical Medicine and Rebabflita~n Orlando, Flor/da Lupin~u-.i. M: Physiatric Management of the Visually/repaired Disabled Patient. Archives of Physical Medicine and Rehabilitauion, 68 (9): $90. 1987 D. Grand Rounds ~,nd Oth,.r Concepts in Low Vision for the Phys~trist ~ of Physical Medicine Grand Rounds Bay/or Col/ege of Medicine, Houston, Texas, August 1986. Musculoskeletal ~ in the Workplace Department of Physical Medic/ne Ca'and Rounds Baylor College of Medicine, Houston, Texas. Sane 1988 APR-2g-03 03:47P~ F~O~-PHY$1CIAN$ OF REHAB ~D 7175913834 T-352 P.13/IB F-?41 Cu-n'~cu. lum Vitae Michael F. Lupinacci, M.D. Page 12 Injured Worker RehabBitation: 1989 Bryn Mawr P~habilitation Hospital Grand Rounds Malv~rn, P~nsylvan/a, April 1989 Rehabilitation Following ~oint Anhroplasty Bryn Mawr Rehabilitation Hospital Staffinservice Malvem, Pennsylvania, April 1989 Rehabil/tation of thc Visually Impaired Disabled Patimt Bryn Mawr Rel~_~n Hospital Crrand Rounds Malvem, Pennsylvania, June 1990 MusculoskeE-tal Disea~ in the Workplace Mechenicsburg Rehabilitation Hospital Gr~_~ Rounds Mechanicsburg, Pennsylvan/a, Nove~abet 1990 Advanced Concepts in Spinal Cord Injury Managean~nt. Functio~ Outcom~ by Injury Level Mechanicsburg R~hab System for members ofinterdisc~ spirnl cord injury team, Mechanlcsburg, Pennsylv~ November 1991 and May 1992 Reflex Sympathetic Dys~ophy D/agnosis and Manag~mem INTRACORP, Towson, Mary~ ~une 1992 Reflex Sympathetic Dystrophy Diagnosis and Managemem Harrisburg Claims Assoo/ation, Harrisburg, Pennsylvania,. June 1992 Prims~ Fibromyalgia Syndrome and Myofascial Pain Syndrome. Diagnosis and Rehabilitation Management · Symposium for Rehabilitation Nurses and Insurance Rehabilitation Hospital, September 23, 1992 Co .mpany Represenimives at Mechanicsburg Post-Concuss/ye Syndrome__. Symposium for Rehabilitation Nurses and Insurance Co ~mpany Representatives at Mech~_~_icsburg Hospital, April 21, 1993 Physical Medicine and Rehabilitation in 1994 Penn Sta~ University Medical School, Deparlment of Medicine, October 12, 1994 Myofascial Pain Syndrome D~agnos~ and Management Holy Spirit Hospital Fanfly ~ Deparnm~ Grand Rounds, Camp Hill, Ponnsylv~ October lg, 1995 AP~-2g-o3 03:47P~ FRO~'PHY$1CIAHS OF REHAB ~D 7175913834 T-352 P.14/18 F-?41 Cm'ric~lt~a Vitae Michael F. Lupinacci, M.D. Page 13 Update: Advances in Stroke Rchab'flitation Harrisburg Hospital Departmem of/ntemal Medicine Grand Rounds, Harrisburg, Pennsylvania Dece~ 20, 1995 Myofi~e/al Pain Syndrome - Advances in Management Carlisle Hospital Grand Rounds, Carlisle, Pennsylvania, February 2, 1996 Intratheeal Baelofen: A Physhtric Perspective HealthSouth Rehabilitation Hospital Symposium. Mechanics~, Pennsylvania, Apra 16, 1997 Contemporary Issues ia Ba~k Pain Management HealthSouth Rehabilitation Hospital Conference, Meehanicsburg, Pennsylvania, 2uno 18, 1997 Rehabilitation Prir~iples: A Primer P~tmsylvania S~ate University Medical lanuary 31, 1997 School, Department of Medicirm, Hershey, PennsyIvania Physician- Case Manager Re]afiom, presented at Chart Your Course- Directions for Succcss Pennsylva~ State University, State College, Petmsylvan~ Apr~ 1998 Introduction to Medical Rehabilitation Pennsylvania State University Medical School, Department of Megiicin~, Hershey, Pennsylvania March 8, 1999 Appropriate Use of Ekctrodiagnofis, presented at HighMark Third Annual S~ate Blues Anti-Fraud Conference on H~ Fraud, Httsburgh, PA October 1999 I989 Anraml Meetings ofthe Axmr;.can Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation, San Antonio, Texas APR-29-03 03:4?PM F~O~PHY$1CIAN$ OF REHAB ~D ?176913834 T-362 P.15/18 F-74t Cun~. Vitae Michael F. Lupinacci, M.D. Page 14 1990 Annual Meaings of the American Congress ofRelmbilitafion Med/cine and the American Academy of Physical Medic/ne and RehabiIita~n, Phoenix, Arizona 1991 Annual Meeting of the American Association of Electmdiagnostic Medicine Vancouver, Canada 1992 Annual Meetings of the ~can Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation, San Francisco, California 1993 Annual Meetings ofthe Amerk:an Congress ofRehabilita~on Mcdicine and th~ American Acadcmy of Physical Medicine and Rehabilitafio~ Miam~ Florida 1994 Annual Meetings of the American Congress of Relmbflitation Medicine and the American Academy ofPhys/ca] Med/c/ne and Rehabilitation, Anaheim, Califorrt;~ Second Annual Meet/ng of the Phys/atr/c Associat/on of Sp/ne, Sports and Oc~pational Rehabflitat/on (PASSOR). October 1994 1995 Annual Meeting oft. he American Academy of Physical Medicine and Rehabilitation Orlando, Florida 1996 Annual Meeting ofthe American Academy of Physical Medicine and Rehabilitation Chicago, Illinois 1997 Annual Meeting of the American Academy of Physical Medicine and Rehabilitation Atlanta, Georgia 1998 Ammal Meeting ofthe ~iation of Academic Physiattist, San Antonio, Texas 1998 Annual Meeting American Academy of Physical Medicine and RehaSh Seanle, Washington 1999 Annual Me~ing American Academy of Physical Medicine and Rehabilitation Washington, D.C. 2000 An-ual Meeting Amewi__'can Academy of Physical Medicine and Rehab~tion San Francisco, California 2002 Annual Meeting American Academy of Physical Medicine and Rehabfl/mtion Orlando, Florida APR-2g-03 03:48P~ FRO~-PHY$1CIAN$ OF REHAB IVIED ?175913B34 T-352 P.15/15 F-741 C~um Vitae Michael F. Lupinacci, M.D. Page 15 20th Anniversary Comprehensive Review Course in Physical lVledic~ and Re. habi~n, Sponsored by the Depamnent of Physical Medicine, Baylor College of Medicine, Houston, Texas, Co-Moderator, April 19~6 21st Comprehensive Review Course/n Physical Medicine and Rehabilitation, Spotmored by the Depatunent of Physical Medicine, Baylor College of Mcdicine, Houston, Texas, March 1987 22nd Comprehensive Review Comae in Physical Medicine and Rehabilitation, Sponsored by the I)cpartmem of Physical Medicine, Baylor College of Medicine Houston, Texas, March 1988 Institute for Academ/c Physiarry: Resca~h, Theo~, Methods, and Developlmmt, Sponsored by the Departmem ofRehabili~fion Medidne, Tuffs University School of Medicine and thc New Engh._nd Medical Center; and thc Association of Academic p~ Boston, Massages, August 1987 Musculoskeletal Disease in the Workplace - From Pm-employment to Disabil/ty Sponsored by the Amerlcan Academy of Orthopedic Surgeons, Dallas, Texas, September, 1987 Aggressive Non-Surgical Rehabilitation of Lumbar Spi~ and Sports Injuries San Francisco, Calffo~ March, 1989 Prepat~ th~ Physiatrist for the Changing Practice in thc 90's Baylor University Medical Center, Dallas, Texas, May, 1990 Traumatic Brain Injury:. 1991, A Meeting of~e Minds - Science and the Injured Brain Sacramento, Califom/a, October 17 - 19, 199l Super EM(} XII. 1992, Kauai, Hawaii, February 1 - 8, 1992 Postgraduate Course on the Rcbalilitation of the Brain Injured Adul~ and Child Will;sm_sburg, Virg~. June I0- 14, 199:2. Business Seminar for Physiatrists Cincinm6, Ohio, April 1993 APR-29-03 D3:48P~ FROM-PHYSICIANS OF REHAB ~D ?176913~34 T-362 P.17/18 Curriculum Vitae Michael F. Lupinaccl, M.D. Page 17 American Board of Independent Medical Examiners Review Course Chicago, Illinois Suly 2001 Using the Guides to the Evaluation of Permanent l~, Fifth Ed. Reston, Virginia, December 2001 Executive Leaders Program Fall Imthute. A Focus on Raising Revenue American College of Physician Executives Naples, Flor/da November 2002 Available Upon Request. *Revised April 2003 APR-~9-03 03:49P~ FROM-PHYSICIANS OF REHAB ~D 7175913834 T-36~ P.18/18 F-T41 Curriculum Vitae Michael F. Lupinacci, M.D. Positioning Yom PM & R Practice In an Era of Chs_nge New York, May20 - 21, 1994 Stroke Survivors Rehab/li~ation and Recovery Conferea~ Boston, Massachusetts, September 23, 1994 Braintree Hospital TBI Conference Boston, Ma~husetts, Septen~r 25 - 27, 1994 Greater Philadelphia Pain Society Meeting, Pain Update ! 994 Phi~deyhia, Pennsylvania, October 2g, 1994 Inlramttseular Pharmacology for Spasticity Management San Diego, Califo~ May 4 - 6, 1995 Greater Ph~naelphln Pain Society Meeting, Pain Update ] 995 Philadelphia, Permsylvania, October 6, 1995 Current Concepts in Management of Cervical, Thoracic Spine and Shoulder Disorders, PASSOR New Orleans, Louisiana, March 8 - 10, 1996 Managemem of Spasticity, HealthSouth Corporation Annual Meeting Orlando, Florida, March 31, 1997 Thoracic and Lumbar Spinal Injections, Hands-on Cadaver Course, PASSOR New Orleans, Louisiana, September 6 - 7, 1997 Leadership for Physician Executives, Ixvinson Institute, Harvard Medical School CamIxiage Massac3useus, May 190S Advances in Brain Injury Rehabilitation, Rehab Institute of Chicago March 2000 The Physician in Managemem Session A, ~ College of Physi_eian Executives Chicago, Illinois March 2001 The Physician in Management Session B, American College of Physician Executives Chicago, Illinois April 2001 Advances in Medical, Surgical and Rehabil~ Care for Osteoarthfitis, Rehab Institute of Chicago, Chicago, Illinois May 2001 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVA~I~K ORPHANS COURT DIVISION IN THE MA;,EROF FRED L. WILSON, an alleged Incompetent : GUARDIANSHIP - INCAPACITATED PERSON PRELIMINARY ORDER NOW, this~,.~.~ day of ('~~ ,2003, upon motion of Nathan C. Wolf, / Esquire, and upon consideration of the attached petition, a r,.g,d~s issued upon Fred L. Wilson to show cause why a guardian of his person should not be appointed. A hearing on this matter shall be held in Courtroom No. _~ of the Cumberland County Courthouse, on ~/~/~_ / ,2003, at /:~ o'clock Petitioner Linda L. Wilson is appointed temporary guardian of the persor~of Fred L. Wilson pending a final ruling by the Oourt following the hearing. At least ,5-" days notice of the hearing shall be given to the next-of- kin listed in the petition by personal service or by regular and certified mail. By the Court, 1N RE: FRED L WILSON AN ALLEGED INCOMPETENT IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-03-347 IMPORTANT NOTICE CITATION WITH NOTICE A petition has been filed with the Court to have you declared an Incapacitated Person. If the Court finds you to be an Incapacitated Person, your rights will be affected, including our right to manage money and property and to make decisions. A copy of the petition which has been filed by NATHAN C WOLF, ESQUIRE is attached. You are hereby ordered to appear at a heating to be held in Court Room No. 4, Cumberland County Courthouse, Carlisle, Pennsylvania, on MAY 1 ,2003, at 1:30 P.M. to tell the Court why is should not find you to be an incapacitated Person and appoint a Guardian to act on your behalf. To be an incapacitated Person means that you are not able to receive and effectively evaluate information and communicate decisions and that you are unable to manage your money and/or other property, or to make necessary decisions about where you will live, what medical care you will get, or how your money will be spent. At the hearing, you have the right to appear, to be represented by an attorney, and to request a jury trial. If you do not have an attorney, you have the right to request the Court to appoint an attorney to represent you and to have the attorney's fees paid for you if you cannot afford to pay them yourself. You also have the right to request that the Court order that an independent evaluation as to your alleged incapacity. If the Court decides that you are an Incapacitated person, the Court may appoint a Guardian for you, based on the nature of any condition or disability and your capacity to make and communicate decisions. The Guardian will be of your person and/or your money and other property and will have either limited of full powers to act for you. If the court finds you are totally incapacitated, your legal rights will be affected and you will not be able to make a contract or girl of your money to other property. If the court finds that you are partially incapacitated, your legal rights will also be limited as directed by the Court. If you do not appear at the hearing (either in person or by an attorney representing you) the court will still hold the hearing in your absence and may appoint the Guardian requested. Clerk, Orph~s' Coiirt IJi~[i3n0 - Cumberland County, Carlisle, PA (J~~ My Commission Expires 1 st Monday, January, 2006 IN RE: : : FRED L. WILSON : AN ALLEGED : INCOMPETENT : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-03-347 IN RE: PETITION FOR APPOINTMENT OF GUARDIAN ORDER OF COURT AND NOW, this 1st day of May, 2003, after hearing and notice, the Court finds ~hat Fred L. Wilson is an incapacitated person, and he is thus adjudged. His wife, Linda L. Wilson, is appointed guardian of the person and of the estate of Fred L. Wilson, and she is authorized to serve without bond. By the Court, Nathan C. Wolf, Esquire 35 East High Street Suites 201/202 Carlisle, PA 17013-3052 For the Petitioner :mae Ke7 A. Hess, J.