El Paso County, TX · El Paso County
Physician’s Certificate of Medical Examination
This certificate lets a physician provide medical information for the court to assess an alleged incapacitated person and whether a guardian should be appointed.
At a glance
- Issued by
- City of El Paso County · El Paso County, El Paso County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- Original source unavailable. Use the archived PDF.
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
A physician completes this certificate to help the court assess an alleged incapacitated person and whether a guardian should be appointed. It asks about the proposed ward’s physical and mental condition, cognitive abilities, decision-making, and developmental disabilities. If a mini-mental status exam was given, the form asks the physician to attach a copy.
Who needs it
A physician completes this certificate for a court proceeding concerning the guardianship of an alleged incapacitated person.
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 document is completed without a notary; the physician signs and dates the certificate, and attaches a mini-mental status exam copy if one was given.
How to submit this form
- 1
Download the Certificate
Download the Physician’s Certificate of Medical Examination.
- 2
Complete the Evaluation
The physician completes the questions about the proposed ward’s medical condition, cognitive abilities, and decision-making.
- 3
Gather Any Attachment
If a mini-mental status exam was given, attach a copy as requested by the form.
- 4
Submit to the County
Submit the completed certificate to the county office named on the form; check the county website for current contact details.
Frequently asked questions
- What is the Physician’s Certificate of Medical Examination?
- It is a certificate for a physician to provide information that helps the court assess an alleged incapacitated person and whether a guardian should be appointed.
- What information does the physician provide?
- The form asks about the proposed ward’s physical and mental condition, cognitive deficits, ability to make decisions, and developmental disabilities.
- Do I need a notary for the Physician’s Certificate of Medical Examination?
- No. The certificate is completed without a notary; the physician signs and dates it and attaches a mini-mental status exam copy if one was given.
- How do I submit the Physician’s Certificate of Medical Examination?
- Submit it to the county office named on the form. Check the county website for current contact details.