A 32
CAP. 136]
Mental Health Regulations
[1989 Ed.
[Subsidiary]
FORM 10
MENTAL HEALTH ORDINANCE
(Chapter 136)
(Section 42)
Application for discharge of a patient before recovery
To: The Medical Superintendent,
I, [name and address of *relative/friend]
Hospital.
make application in accordance with the provisions of section 42(1) of the Mental Health Ordinance for the discharge of [name of patient, and, if known, identity card number]
from the above-named Mental Hospital.
My relationship or connection with the said patient is that of a
I request that the said patient may be delivered over to me.
I undertake that the said patient will receive proper care and will be prevented from doing injury to *himself/herself or to others.
*I am the person upon whose application the said patient was admitted to a mental hospital.
*I have given notice of this application to
OR
the person upon whose application the said patient was admitted to a mental hospital.
Signed
Date
* Delete as appropriate.
Note: The patient must be discharged within 48 hours unless the Medical Superintendent completes Form 11.