A 10 CAP. 136]
[Subsidiary]
Mental Health Regulations
[1989 Ed.
FORM 4
MENTAL HEALTH ORDINANCE
(Chapter 136)
(Section 32(1))
Certificate of medical practitioners for extension of period of detention for observation
To: The Medical Superintendent,
Hospital.
We, [names and addresses of 2 medical practitioners]
registered medical practitioners, *one/both of whom *has/have been approved for the purpose of section 2(2) of the Mental Health Ordinance by the Director of Hospital Services (See Note 1), hereby certify that-
(a) we have examined *separately/together [name of patient, and, if known, identity card
number and address]
who is detained in .....
on
Hospital by virtue of an order made
19 ......... in accordance with the provisions of section 31(1B)
of the Mental Health Ordinance;
(b) we are of the opinion that it is necessary that this patient be detained for a further period of
days for the purpose of observation, investigation and treatment
(See Note 2).
The reasons for my opinion are--
Signed
Registered Medical Practitioner
Date
Page 10