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CAP. 136

Mental Health Regulations

[1989 Ed.

[Subsidiary]

FORM 3

MENTAL HEALTH ORDINANCE

(Chapter 136)

(Section 31(1B))

Order by a District Judge or magistrate authorizing the removal of a patient to a mental hospital for the purpose of detention and observation

I, [name and address]

a

*District Judge/magistrate having received an application made under section 31(1) of the Mental Health Ordinance from [name and address of applicant]

dated

and a medical certificate in support from [name and address of registered medical practitioner]

dated

in pursuance of section 31(1B) of the Mental Health Ordinance hereby authorize the removal of [name of patient, and, if known, identity card number and address]

to

Hospital for the purpose of detention and observation

for a period of not exceeding 7 days from and including the date of this order.

* Delete as appropriate.

Signed

*District Judge/Magistrate

Date

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