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DISTRICT COURT In the matter of , No. ACCEPTANCE OF APPOINTMENT, DUTIES, AND RESPONSIBILITIES AS TREATMENT GUARDIAN I, (name of treatment guardian), agree to perform the following duties and responsibilities in accordance with Section 43-1-15 NMSA 1978. 1. I shall make decisions on behalf of Respondent (name) about whether to accept treatment. 2. I shall base decisions about whether to accept treatment on behalf of Respondent on.

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