4
FORUM 2
MENTAL HEALTH ORDINANCE. 1960,
(No. 35 of 1960).
(Section 31).
Order by a magistrate or Justice of the peace authorizing the removal to a mental hospital for the purpose of detention and observation
of a person alleged to be a mentally disordered person.
I
of
*a magistrate/justice
of the peace having received an application from
of
stating
that be bas reason to believe that
of
is a mentally disordered person, in exercise of the powere conferred on me by subsection (1) of section 31 of the Mental Health Ordinance, 1960, hereby authorize the removal of the said
to the Mental Hospital
at
known as ..................................
and situate for the purpose of detention and observation as a patient under observation during a period not exceeding seven days from and including the date of this order.
Dated this
day of
19........
* Magistrate/Juniice of the Peace.
of an order made on the
day of
19..
in accordance with the provisions of subsection (1) of section 31 of that Ordinance by
A | magistrate/justice of the peace * (and în pursuance of an extension to that order ninde on the
by
day of
12......
........... a * magistrate/justice of
the peace in accordance with the provisions of subsection (2) of sce tion 32 of that Ordinance); and
(b) we are of the opinion that it is necessary that the said
abould be detained in the
said Mental Hospital for a further period of days for the purpose of observation, investigation and treatment. The reasons which, in my opinion, render it necessary that the said should be so detained for such further period are--
Dated this
day of
19....
Registered medical practitioner. The reasons which, in my opinion, render it necessary that the said should be so detained for such Further period are-
* Delete whichever is inapplicable. Note: The period of detention authorized by this order will expire at midnight
on the seventh day, counting the date of the order as the first day.
Dated this
day of
19.******
Registered medical practitioner, Countersigned in accordance with the provisions of subsection (2) of see- tion 32 of the Mental Health Ordinance. 1960, this day of
19....****
FORM 3.
MENTAL HEALTH ORDINANCE. 1960.
(No. 35 of 1960).
(Section 32).
Certificate of medical practitioners for extention of period of detention for observation.
To: The Medical Superintendent of the
Mental Hospital known as
situate at
We
of
And
Note:
Magistrate.
The period of each extension is limited to seven days. The first day of the first extended period will be the day immediately after the expiration of the order under section 31: see the note to Form 2. There cannot be more than two extensions.
* Delete if (napplicable.
of
and
registered medical practitioners,
of subsection (1) of section 32
To:
hereby certify in porsuance of the provisions of the Mental Health Ordinance. 1960, thai-
(0) we have examined *
separately/together
of
who is now detained in the above-mentioned Mental Hospital by virtue
FORM 4.
MENTAL HEALTH ORDINANCE, 1960. (No. 35 of 1960).
(Section 33).
Application for reception of a temporary patient.
The Medical Superintendent of the Mental Hospital known as
situate at
and