Lenawee County, MI · Lenawee County
Affidavit of Physician/Psychologist
This affidavit lets a treating physician or psychologist provide information about an emergency requiring a temporary guardian for an estate in Lenawee County.
At a glance
- Issued by
- City of Lenawee County · Lenawee County, Lenawee County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- mi-lenaweecounty.civicplus.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
A treating physician or psychologist completes this form for an estate matter in the Lenawee County Circuit Court Family Division when an emergency requires a temporary guardian. It asks for the estate name, the professional’s role and treating relationship, the emergency, and the signer’s date, signature, name, address, and telephone number.
Who needs it
A physician or psychologist treating the person named in an estate matter completes the form when a temporary guardian is needed for an emergency.
How to submit it
Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This form is signed without a notary; the physician or psychologist signs and dates it.
How to submit this form
- 1
Download the Form
Download the Physician/Psychologist Affidavit for an estate matter in Lenawee County.
- 2
Complete the Form
Enter the estate name, identify your professional role and treating relationship, and describe the emergency requiring a temporary guardian.
- 3
Add Contact Information
Provide the date, signature, printed name, address, and telephone number requested on the form.
- 4
Submit to the County
Submit the completed form to the county office named on it; check the county website for current contact details.
Frequently asked questions
- What is the Physician/Psychologist Affidavit for?
- It provides information from a treating physician or psychologist about an emergency requiring a temporary guardian for an estate matter in the Lenawee County Circuit Court Family Division.
- Who completes the affidavit?
- The form is for the treating physician or psychologist. It asks the professional to identify their role, describe the emergency, and provide contact information.
- Do I need a notary for the Physician/Psychologist Affidavit?
- No. This form is signed and dated without a notary.
- How do I submit the Physician/Psychologist Affidavit?
- Submit it to the county office named on the form; check the county website for current contact details.