A 34

CAP. 136]

Mental Health Regulations

[1989 Ed.

[Subsidiary]

I,

FORM 11

MENTAL HEALTH ORDINANCE

(Chapter 136)

(Section 42)

Certificate of refusal to discharge a patient

I, Medical Superintendent of ... Hospital, in pursuance of section 42(1) of the Mental Health Ordinance certify that I refuse to discharge [name of patient, and, if known, identity card number] ...

a *voluntary patient/certified patient/patient under observation on the grounds that--

*I am satisfied that the said patient is dangerous or otherwise unfit to be at large.

OR

*I am not satisfied that the said patient will receive proper care.

* Delete as appropriate.

Signed

Medical Superintendent

Date

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