Forms and instructions for developmentally disabled guardianships under the mental health code
- Petition for Appointment of Guardian, Individual with alleged Developmental Disability
- Physical Appraisal Form (Completed by the individual’s doctor)
- Report to Accompany Petition to Appoint… (Complete by the psychologist, social worker, CMH support coordinator. The person who completes this form is subpoenaed to testify at the guardianship hearing)
- Psychological Evaluation (test/evaluation report completed by the psychologist).
ALL PSYCHOLOGICAL EVALUATIONS, REPORTS, AND PHYSICAL MUST BE DONE WITHIN THE PAST TWELVE MONTHS (1 YEAR).
You may mail or personally file the Petition with the court. THERE IS NO FILING FEE. The court address is:
Macomb County Probate Court-Mental Division
5th Floor
40 North Main St.
Mt. Clemens, MI 48043
If you have any questions, do not hesitate to contact the court at 586-469-5320.
The law requires that a qualified physician or psychologist take part in evaluating individuals with developmental disabilities. If you need assistance in this regard, you may contact your community mental health (CMH) caseworker, your child’s school psychologist, your own psychologist, or one of the psychologists listed below. Each of the psychologists has indicated their willingness to perform the necessary evaluations and to testify at the court hearing. All evaluations must be done within one year of the filing of the petition. Call the evaluator or the court if you have questions regarding the testing procedure, costs and fees.
Dr. Terry L. Rudolph, Ph.D
Associates in Humanistic Psychology
22100 Greater Mack Ave. #104
St. Clair Shores, MI 48080
586-774-7987
Associates in Humanistic Psychology
22100 Greater Mack Ave. #104
St. Clair Shores, MI 48080
586-774-7987
Paolo Todesco, Ph. D LP (Psychologist)
P.O. Box 361331
Grosse Pointe Farms, MI 48236
Cell: 313-409-5034
P.O. Box 361331
Grosse Pointe Farms, MI 48236
Cell: 313-409-5034
Howard Elandt, Ed.S., M.A. (Psychologist)
Director @ Community
Life Skill Center (CLSC)
Office: 248-652-0832
Director @ Community
Life Skill Center (CLSC)
Office: 248-652-0832
All forms are in a fill-able PDF format. You may either open the form, fill out and then print or save to your local machine to print and fill out by hand.
- SCAO FORM PC 659 (3/00) – Report To Accompany Petition to Appoint, Modify or Discharge Guardianship of Individual with Developmental Disability
- SCAO FORM PC 658 (9/20) – Petition For Appointment of Guardian, Individual with Alleged Developmental Disability
- SCAO FORM PC 677 (9/12) – Guardian For Developmentally Disabled Individual
- PHYSICAL APPRAISAL FORM REV. 05/15