Guardianship Petition (state-specific) · State Courts (Probate/Family Court)
Court petition to be appointed legal guardian of an incapacitated adult or minor. Requires medical evidence of incapacity. Types include general, limited, temporary, emergency, and healthcare-only guardianship.
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File with the probate or surrogate court in the proposed ward's county of residence
Court filing procedures vary by state and county. Contact the clerk of court for local requirements.
Filing Deadline
No fixed deadline, but file promptly when an incapacitated person needs protection. Emergency/temporary guardianship can be requested for urgent situations.
Standard: 30-90 days from filing to hearing. Emergency/temporary guardianship: 24-72 hours in urgent cases.
The court will schedule a hearing. An attorney may be appointed for the proposed ward. The court investigator may interview all parties. If granted, Letters of Guardianship are issued and the guardian must file annual reports.
State-specific · State Law (forms from AARP, state bar associations, hospitals)
Legal document specifying medical treatment preferences when the individual is unable to make decisions. Requirements for witnesses and notarization vary by state. Free state-specific forms available from AARP and state agencies.
Varies by state · State Legislatures / State Bar Associations
Written declaration of preferences regarding life-sustaining treatment, artificial nutrition and hydration, and comfort care when terminally ill or permanently unconscious. Legally distinct from healthcare proxy in many states.
State-specific · State Law
Designates a trusted person (agent/proxy) to make healthcare decisions when the individual cannot. May be part of a combined advance directive or a separate document depending on state law.
POLST · State Health Departments (46 states as of 2026)
Medical order (not just a directive) specifying life-sustaining treatment preferences. Actionable by EMS. For patients with serious life-limiting illness or advanced frailty. Works alongside advance directives.
MOLST · State Health Departments (e.g., New York)
New York's version of POLST. The only authorized form in NY for documenting non-hospital DNR and DNI orders. Must be completed by a physician in consultation with the patient or surrogate.
MOST / POST / COLST · Various State Health Departments
State-specific variants of POLST: Medical Orders for Scope of Treatment (MOST), Physician Orders for Scope of Treatment (POST), Clinician Orders for Life-Sustaining Treatment (COLST). Functionally equivalent to POLST.
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