Ex Parte Application for Order Authorizing Completion of Capacity Declaration—HIPAA

Judicial Council of California · Probate

Verified current as of August 1, 2026

This form allows someone to request a court order that permits a healthcare provider to complete a capacity declaration without the person being evaluated knowing about it beforehand. A family member, conservator, or other interested party uses this form when they need to quickly establish whether someone lacks mental capacity—typically in conservatorship cases—without alerting that person to the evaluation.