Here is the text we could read:
Limitations to Guardianship For Clinicians
Care of Self
Ms. Xxx has the ability to be responsible for bathing, dressing, toileting, and dental care (with
assistance).
Mr. Xxx has the ability to choose and determine his daily meals.
Medical Decision Making and Management
Mr. Xxx has the ability to make and communicate decisions about this health care, including the
continuance or withdrawal of lifesustaining treatment.
Ms. Xxx has the ability to choose a health or longterm care facility.
Mr. Xxx has the ability to choose and direct home health care providers.
Ms. Xxx has the ability to manage her medications (with assistance).
Home and Community Life
Ms. Xxx has the ability to determine her residence/live at home.
Ms. Xxx has the ability to be responsible for maintaining and cleaning her home (with assistance).
Mr. Xxx has the ability to be left alone (with time limit).
Ms. Xxx has the ability to drive with a valid driver’s license.
Mr. Xxx has the ability to use public transportation independently.
Ms. Xxx has the ability to make and communicate choices about roommates.
Mr. Xxx has the ability to select and plan a schedule of daily and leisure activities.
Ms. Xxx has the ability to vote.
Ms. Xxx has the ability to smoke at a time and place of her determination, within the law.
Mr. Xxx has the ability to seek and obtain employment.
Ms. Xxx has the ability to travel.
Ms. Xxx has the ability to determine with whom she has friendships and visitation.
Mr. Xxx has the ability to determine his degree of participation in religious activities.
Ms. Xxx has the ability to use the telephone or computer (without supervision).
Mr. Xxx has the ability to correspond with others and to use mail/email (without supervision).
Limitations to Conservatorship
Financial Decision Making and Management
Mr. Xxx has the abilitys to have and spend $20 of cash per week.
Ms. Xxx has the abilitys to manage and use her checkbook (with a monthly limit).
Mr. Xxx has the ability to plan a budget, including monthly expenditures, and to direct the
conservator in expenditures.
Ms. Xxx has the abilitys to purchase and give gifts to individuals of her choosing (not to exceed
xxx per month).
Mr. Xxx has the ability to make gifts or donations to organizations of his choosing (not to exceed
xxx per donation).
Ms. Xxx has the ability to make decisions concerning purchase or sale of her home. (Her home at
Yyy Street is not to be sold without prior authorization of the court.)
Mr. Xxx has the ability to deposit, withdraw, dispose, or invest monetary assets.
Ms. Xxx has the ability to establish and use credit.
Mr. Xxx has the ability to pay, settle, prosecute, or contest a claim.
Ms. Xxx has the ability to enter into a contract, financial commitment, or lease arrangement.
Mr. Xxx has the ability to continue or participate in the operation of a business.
Mr. Xxx has the ability to manage his property and investments.
(Untitled)
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About This Form:
- Sourced from www.mass.gov (2023-03)
- Page(s): 2
- Fields(s): 0
- Average fields per page: 0
- Reading Level: Grade 8
- LIST Grouping(s):
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