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Probate Court
40 North Main St., Mount Clemens, MI 48043
Wills Estates (586) 469-5290 Mental Div. (586) 469-5320 SWITCHBOARD CLOSED 12PM TO 1PM

Forms and Instructions for Developmentally Disabled Guardianships under the Mental Health code

For filing a Petition for Appointment of a Guardian you will need the following:

1. Petition for Appointment of Guardian, Individual with alleged Developmental Disability; For an Adobe PDF version, click here.

2. Physical Appraisal Form (Completed by the individual’s doctor); For an Adobe PDF version, click here.

3. Report to Accompany Petition to Appoint… (Complete by the psychologist, social worker, CMH support coordinator. The person who completes this form is subpoenaed to testify at the guardianship hearing.); For an Adobe PDF version, click here.

4. Psychological Evaluation (test/evaluation report completed by the psychologist).

ALL PSYCHOLOGICAL EVALUATIONS, REPORTS, AND PHYSICAL MUST BE DONE WITHIN THE PAST TWELVE MONTHS (1 YEAR).

You may mail or personally file the Petition with the court. THERE IS NO FILING FEE. The court address is:

Macomb County Probate Court-Mental Division
5th Floor
40 North Main St.
Mt. Clemens, MI 48043

If you have any questions, do not hesitate to contact the court at 1-586-469-5320.

Evaluators for Developmental Disability Cases


The law requires that a qualified psychologist takes part in evaluating individuals with developmental disabilities. If you need assistance in this regard, you may contact one of the psychologists listed below. Each of the psychologists below has been approved by the court and indicated a willingness to perform the necessary evaluations and to testify at the court hearing. All evaluations must be done within one year of the filing of the petition. Call the evaluator or the court if you have questions regarding the testing procedure, costs, and fees.

If you choose to use you own psychologist, you must obtain and submit their credentials with the petition for approval. If they are not approved, you must pick a psychologist from the approved list. 

Sandra M. Tipsword, M.A., LLP
21231 Cass Avenue
Clinton Twp., MI. 48036
586-322-6457

Dr. Terry L. Rudolph, Ph.D
Associates in Humanistic Psychology
22100 Greater Mack Ave #104
St. Clair Shores, MI. 48080
586-774-7987

Paolo Todesco, Ph. D LP (Psychologist)
P.O. Box 361331
Grosse Pointe Farms, MI 48236
Cell: 313-409-5034

Howard Elandt, Ed.S., M.A. (Psychologist)
Director @ Community
Life Skill Center (CLSC)
Office: 248-652-0832

Jonathan Beard
6555 15 Mile Rd. 
Sterling Heights, MI 48312
248-854-5196
dr_jon25@hotmail.com

 

FORMS

All forms are in a fill-able PDF format. You may either open the form, fill out and then print or save to your local machine to print and fill out by hand.

SCAO FORM PC 659 – REPORT TO ACCOMPANY PETITION TO APPOINT, MODIFY OR DISCHARGE GUARDIANSHIP OF INDIVIDUAL WITH DEVELOPMENTAL DISABILITY

SCAO FORM PC 658 – PETITION FOR APPOINTMENT OF GUARDIAN, INDIVIDUAL WITH ALLEGED DEVELOPMENTAL DISABILITY

SCAO FORM PC 677 -- GUARDIAN FOR DEVELOPMENTALLY DISABLED INDIVIDUAL

PHYSICAL APPRAISAL FORM REV. 05/15

SCAO FORM PC 663 -- REPORT OF GUARDIAN ON CONDITION OF INDIVIDUAL WITH DEVELOPMENTAL DISABILITY