Mental Health Act Forms

• Form 1: Request for Admission (Voluntary Patient)
• Form 2: Consent for Treatment (Voluntary Patient)
• Form 3: Medical Report – Examination of a Person Under 16 Years of Age, Admitted at Request of Parent or Guardian (Renewal Certificate)
• Form 4: Medical Certificate (Involuntary Admission)
• Form 5: Consent for Treatment (Involuntary Patient)
• Form 6: Medical Report on Examination of Involuntary Patient (Renewal Certificate)
• Form 7: Application for Review Panel Hearing
• Form 8: Review Panel Determination
• Form 9: Application for Warrant (Apprehension of Person With Apparent Mental Disorder for Purpose of Examination)
• Form 10: Warrant (Apprehension of Person With Apparent Mental Disorder
• Form 11: Request for Second Medical Opinion
• Form 12: Medical Report (Second Medical Opinion)
• Form 13: Notification to Involuntary Patient of Rights Under the Mental Health Act
• Form 14: Notification to Patient Under Age 16, Admitted by Parent or Guardian, of Rights Under the Mental Health Act
• Form 15: Nomination of Near Relative
• Form 16: Notification to Near Relative (Admission of Involuntary Patient or Patient Under Age 16)
• Form 17: Notification to Near Relative (Discharge of Involuntary Patient)
• Form 18: Notification to Near Relative (Request or Order for a Review Panel Hearing)
• Form 19: Certificate of Discharge
• Form 20: Leave Authorization
• Form 21: Director’s Warrant (Apprehension of Patient)

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