Ministry of Health
Mental Health Act Forms
- Form 1: Request for Admission (Voluntary Patient) (PDF 33K)
- Form 2: Consent for Treatment (Voluntary Patient) (PDF 37K)
- Form 3: Medical Report – Examination of a Person Under 16 Years of Age, Admitted at Request of Parent or Guardian (Renewal Certificate) (PDF 45K)
- Form 4: Medical Certificate (Involuntary Admission) (PDF 41K)
- Form 5: Consent for Treatment (Involuntary Patient) (PDF 40K)N
- Form 6: Medical Report on Examination of Involuntary Patient (Renewal Certificate) (PDF 50K)
- Form 7: Application for Review Panel Hearing (PDF 36K)
- Form 8: Review Panel Determination (PDF 39K)
- Form 9: Application for Warrant (Apprehension of Person With Apparent Mental Disorder for Purpose of Examination) (PDF 59K)
- Form 10: Warrant (Apprehension of Person With Apparent Mental Disorder (PDF 38K)
- Form 11: Request for Second Medical Opinion (PDF 40K)
- Form 12: Medical Report (Second Medical Opinion) (PDF 38K)
- Form 13: Notification to Involuntary Patient of Rights Under the Mental Health Act (PDF 60K)
- Form 14: Notification to Patient Under Age 16, Admitted by Parent or Guardian, of Rights Under the Mental Health Act (PDF 58K)
- Form 15: Nomination of Near Relative (PDF 47K)
- Form 16: Notification to Near Relative (Admission of Involuntary Patient or Patient Under Age 16) (PDF 56K)
- Form 17: Notification to Near Relative (Discharge of Involuntary Patient) (PDF 47K)
- Form 18: Notification to Near Relative (Request or Order for a Review Panel Hearing) (PDF 43K)
- Form 19: Certificate of Discharge (PDF 34K)
- Form 20: Leave Authorization (PDF 45K)
- Form 21: Director’s Warrant (Apprehension of Patient) (PDF 42K)
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