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GN-3130

Examining Physician's or Psychologist's Report (Adult Guardianship)

Wisconsin · Wisconsin Court System · Effective November 16, 2023

This form is a report written by a doctor or psychologist to the court. It asks for an evaluation of an individual's ability to care for themselves and manage their life.

The court describes it as: Report of Examination by Physician or Psychologist on competency of individual.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Hearing

Stage: Hearing

This form is used in a legal process to help the court decide if a person needs a guardian or needs protective services.

Either party may file.

Official instructions

How-to guides published by the court for this form.

Common questions

Who fills out this form?
The form is filled out by an examining physician or psychologist. The instructions state that the examiner must read a statement to the individual before starting the evaluation.
Does the court need to see this form?
The form is a confidential court form. The instructions state that the page containing the statement to be read should not be submitted to the court.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect November 16, 2023.

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