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IN RE: CONSTANCE M. MEREDITH : IN THE COURT OF COMMON PLEAS
: OF CUMBERLAND COUNTY,
: PENNSYLVANIA
: ORPHANS' COURT DIVISION
An alleged incapacitated person : NO. 06-0294
On the Petition of WILLIAM J. MEREDITH
FINAL ORDER OF COURT APPOINTING PLENARY GUARDIAN
AND NOW, this I Z. ~ay of0u...iU ~ ,2006, a hearing in this case having been
held on June 12, 2006 at 2:30 p.m., and it appearing to the Court that CONSTANCE M.
MEREDITH was served with a Citation and Notice of this hearing on May 17,2006, and the Court
finds that the physical or mental condition of CONSTANCE M. MEREDITH would be harmed by
her presence at hearing, and further finds from the testimony:
1. That CONSTANCE M. MEREDITH suffers from Paranoid Schizophrenia and
Organic Brain Syndrome, conditions which impair her capacity to receive and evaluate information
effectively and to make and communicate decisions concerning her management of financial affairs
or to meet essential requirements for her physical health and safety.
2. That there are insufficient supports available to assist CONSTANCE M. MEREDITH
in such decisions and that there exists no other less restrictive alternative mechanism for decision-
making.
3. That based on the incapacity of CONSTANCE M. MEREDITH to receive and
evaluate information and to make or communicate decisions, a plenary Guardian of the Person and
plenary Guardian of the Estate are required on a permanent basis.
NOW, THEREFORE, based on the clear and convincing evidence supporting the foregoing
findings it is ORDERED, ADJUDGED and DECREED that CONSTANCE M. MEREDITH be
and is hereby adjudged an incapacitated person, and WILLIAM 1. MEREDITH is appointed Plenary
Permanent Guardian of the Person and Estate of CONSTANCE M. MEREDITH. As Plenary
Permanent Guardian of the person, WILLIAM 1. MEREDITH has the authority to access all
CONSTANCE M. MEREDITH's medical records, including but not limited to psychiatric records.
Further, as Guardian of the person, WILLIAM J. MEREDITH shall have the power and authority to
serve as personal representative for all purposes of the Health Insurance Portability and
Accountability Act of 1996, (Pub.L.l 04-191), 45 CFR Sections 160 through 164 ("HIP AN'). The
Guardian shall be considered the personal representative for CONSTANCE M. MEREDITH's heath
care disclosures under the federal HIP AA regulations and shall have full authority to review
CONSTANCE M. MEREDITH's medical records and to execute releases of confidential
information from medical providers and insurers or other third party payors.
As Guardian of the Estate, WILLIAM 1. MEREDITH shall have the authority to make
distributions from principal for the payment of care expenses, and all medical needs. In addition,
WILLIAM J. MEREDITH shall have the authority to make distributions from principal for legal fees
and the taxes, utilities, and insurance for any real property owned by CONSTANCE M.
MEREDITH.
An Inventory must be filed within ninety (90) days. A report by the Guardian shall be filed
within 12 months and annually thereafter.
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Bond iH tllg JlmQ'lRt Af
shalt be posted by the LJUarmCIIl.
CaNST ANCE M. MEREDITH, an incapacitated person, has the right to appeal this Order of
Court by filing exceptions within ten (10) days of this date or to petition this Court for a review
hearing to modify or terminate the guardianship herein established.
If CONSTANCE M. MEREDITH was not present at this hearing on appointment of
Guardian, then Petitioner shall serve upon and read to CONSTANCE M. MEREDITH the Statement
of Rights, a copy of which is attached to this Order as Exhibit" A", and file proof of such service
with this Court within ten days.
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BY THE COURT:)
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1.
IN RE: CONSTANCE M. MEREDITH : IN THE COURT OF COMMON PLEAS
: OF CUMBERLAND COUNTY,
: PENNSYL VANIA
: ORPHANS' COURT DIVISION
An alleged incapacitated person : NO. 06-0294
On the Petition of WILLIAM J. MEREDITH
STATEMENT OF RIGHTS UPON APPOINTMENT OF A GUARDIAN
AN ORDER HAS BEEN ENTERED WHEREBY YOU HAVE BEEN ADJUDICATED AN
INCAPACITATED PERSON AND UNABLE TO CARE FOR YOURSELF AND/OR MANAGE
YOUR PERSONAL AFFAIRS. YOU HAVE THE RIGHT TO FILE EXCEPTIONS TO THE
COURT'S DECISION WITHIN TEN (10) DAYS OF THE DATE OF THE COURT'S ORDER. IF
YOU FAIL TO FILE EXCEPTIONS, THE ORDER WILL BECOME FINAL. IN THE EVENT
THA T YOU FILE EXCEPTIONS AND THEY ARE DENIED, YOU HAVE A RIGHT TO FILE
AN APPEAL TO THE SUPERIOR COURT WITHIN THIRTY (30) DAYS OF THE DATE OF
THE DENIAL OF THE EXCEPTIONS.
IN ADDITION, YOU MAY PETITION THE COURT AT ANY FUTURE TIME TO
MODIFY OR TO TERMINATE THE GUARDIANSHIP IF THERE IS A CHANGE IN YOUR
CAPACITY OR IF YOUR GUARDIAN FAILS TO PERFORM HIS/HER DUTIES IN
ACCORDANCE WITH THE COURT'S ORDER.
IF YOU WISH TO APPEAL THE ORDER OR TO PETITION THE COURT TO MODIFY
OR TERMINATE THE GUARDIANSHIP, YOU HAVE THE RIGHT TO BE REPRESENTED BY
AN ATTORNEY. IF YOU DO NOT HAVE AN ATTORNEY, THE COURT MAY APPOINT
ONE TO REPRESENT YOU. IF YOU CANNOT AFFORD AN ATTORNEY, THE SERVICES
OF AN ATTORNEY WHOM THE COURT MAY APPOINT FOR YOU MAYBE PROVIDED
A T NO COST TO YOu.
Exhibit "A"
In Re: Estate of CONSTANCE M MEREDITH
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 21-06-294
CERTIFICATE OF SERVICE OF ORDER
ORDER DATE: 6/12/06
.JUDGE'S INITIALS: EEG
TIME STAMP DATE: 6/12/06
IN RE: FINAL ORDER OF COURT APPOINT PLENARY GUARDIAN
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SERVICE TO:
MARIELLE F HAZEN ESQ
METHOD OF MAILING:
ENVELOPES PROVIDED BY:
D USPS
DRRR
~ HAND DELIVERED
D OTHER
D PETITIONER
D JUDGE
D CLERK OF ORPHANS COURT
MAILED: 6/12/06
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SERVICE TO:
LELIE TOMEO ESQ
METHOD OF MAILING:
ENVELOPES PROVIDED BY:
~ USPS
DRRR
D HAND DELIVERED
D OTHER_
~ PETITIONER
D .JUDGE
D CLERK OF ORPHANS COURT
MAILED: 6/13/06
iI' . · .
i \(~C(,~,l.({l'
Margic\ W eylo~au
1 st Deputy
Clerk of Orphans' Court