A 18 CAP. 136]
[Subsidiary]
Mental Health Regulations
[1989 Ed.
FORM 6
MENTAL HEALTH ORDINANCE
(Chapter 136)
(Section 33(3))
Certificate of medical practitioners in support
of application for guardianship
We, [names and addresses of two 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), are
of the opinion that [name of patient, and, if known, identity card number and address]
should be received into guardianship in pursuance of
an application made under section 33(1) of the Mental Health Ordinance.
I, [name of first practitioner]
last examined the patient
on
In my opinion this patient is suffering from mental disorder of a nature or degree which warrants reception into guardianship under the Mental Health Ordinance. This opinion is founded on the following-
[Give clinical description of the patient's mental condition]
I am of the opinion that it is necessary (See Note 2)—
(a) in the interests of the welfare of the patient; and
(b) for the protection of other persons,
that the patient should be so received for the following reasons—
[Reasons should state why the patient cannot appropriately be cared for without powers of guardianship]