The Report must be signed by a licensed physician.
Item 1: the nature and type of the Respondent's disability and how it impacts the ability to make decisions or to function independently.
Item 2: an analysis and the results of evaluations of the Respondent's mental and physical condition.
Item 3: the physician's opinion as to whether guardianship is needed, the type and scope of the guardianship needed, and the reasons.
Other evaluators: if the description is based on evaluations by other professionals, all professionals preparing evaluations must also sign this Report.
| Question | Answer |
|---|---|
| Form Name | Form CCP 0211 A |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 32 |
| Avg. time to fill out | 6 min |
| Edition | 05/14/25 |
| Other names | CCP 0211 A, CCP 0211, CCP211, CCP 211, Report of Physician |
| Official source | Form CCP 0211 A (Rev 05/14/25), Clerk of the Circuit Court of Cook County |
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