INSTRUCTIONS: WASHINGTON D.C. REPORT OF EXAMINER

The form discussed in this article is filed by an examiner as a report following their examination of the subject of a Washington D.C. case concerning appointment of a guardian or conservator. This document can be obtained from the website maintained by the District of Columbia Courts system.

Washington D.C. Report Of Examiner Step 1: On the first blank line, enter the name of the adult who is the subject of this case.

Washington D.C. Report Of Examiner Step 2: On the next blank line, enter your name.

Washington D.C. Report Of Examiner Step 3: On the next blank line, enter your street address.

Washington D.C. Report Of Examiner Step 4: On the next blank line, enter your city, state and zip code.

Washington D.C. Report Of Examiner Step 5: On the next blank line, enter your phone number.

Washington D.C. Report Of Examiner Step 6: On the next blank line, enter your fax number.

Washington D.C. Report Of Examiner Step 7: On the next blank line, enter your cell phone number.

Washington D.C. Report Of Examiner Step 8: Check the first box below if you are a physician and list your specialty.

Washington D.C. Report Of Examiner Step 9: Check the next box if you are a nurse practitioner.

Washington D.C. Report Of Examiner Step 10: Check the next box if you are a social worker.

Washington D.C. Report Of Examiner Step 11: Check the next box if you are a psychologist.

Washington D.C. Report Of Examiner Step 12: Check the next box if your discipline is other than those listed above and explain.

Washington D.C. Report Of Examiner Step 13: On the next set of blank lines, list any certification, experience, area of specialization or other qualification relevant to your examination of the subject and preparation of this report.

Washington D.C. Report Of Examiner Step 14: On the next blank line, enter the date or dates of the subject's examination.

Washington D.C. Report Of Examiner Step 15: On the next blank line, enter the place or places of examination.

Washington D.C. Report Of Examiner Step 16: On the next blank line, enter the length of time spent with the subject. Complete the rest of the form as instructed.