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STEP 7: Complete the Judgment of. Any court of competent jurisdiction may appoint: 1.Court appointed legal guardians make decisions for incapacitated people regarding their personal and medical care. It is a Court appointment of a guardian to act for a patient respecting life threatening medical treatment. Once the adult has been determined to be incompetent and a guardian(s) is appointed, the guardian will receive a written order of appointment from the clerk. Texas courts have the authority to appoint a guardian with full or limited authority over an incapacitated person. Court Visitors, Investigators, and Guardians ad Litem . Also known as full or plenary guardianship. Court appointment of an emergency guardian isn't a finding that the adult is incapacitated. Once the adult has been determined to be incompetent and a guardian(s) is appointed, the guardian will receive a written order of appointment from the clerk.