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THE HONGKONG GOVERNMENT GAZETTE, JUNE 8, 1906.

SCHEDULE

FORM A.

Certificate of Medical Practitioners, under Section 9.

We

hereby certify that

and

(medical practitioners) at present detaing: for

observation under the authority of The Asylums Ordinance. 1906, is in our opinion a person of unsound mind.

The facts observed by me indicating that the said

is of unsound mind are as follows:-

(Here state facts,)

Dated the

day of

(Signed).

(Medical Practitioner.)

190

The facts observed by me indicating that the said is of unsound mind are as follows:-

(Here state facts.)

(Signed)...

(Medioul Practitioner.)

Dated the

Countersigned.

day of

190

Pated the

(Palier Magistrate.)

day of

190

FORM R.

Certificate of Medical Practitioners, under Section 10,

and

We

(medical practitioners)

hereby certify that it is in our opinion necessary to detain in an asylum for a further period of

days' observation now detained for observation under the authority

of The Asylums Ordinane, 1906.

The reasons which in my opinion render it necessary to detain the said

for further observation are as follows:-

(Here state reasons.)

Datel the

day of

(Signed).........

(Medical Practitioner.)

190

The reasons which in my opinion render it necessary to detain the said

for further observation are as follows:-

(Here state reasons.)

(Signed).

(Medical Practitioner.)

Dated the

Countersigned.

day of

190

Dated the

(Police Magistrate.) day of

190

Objects and Reasons.

The object of this Bill is to authorize the establishment of Asylums and the detention therein of persons of unsound mind and others; and to provide for the custody and care of persons detained in such asylums.

HENRY S. BERKELEY, Attorney General.

961

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