1952-HKRS29-8-19_Part01 — Page 5

I therefore, in pursuance of section 4 of the said Ordinance, give you notice that you are required to attend for, and submit to medical examination within

of

days of the

19 by a medical practitioner.

*

day Medical

examination under this heading will be made free of charge if undergone in a government social hygiene clinic.

To:

7

FORM 4-section 5).

Treatment Notice.

(under section 5 of the Venereal Disease Ordinance, 195a).

In pursuance of section 5 of the Venereal Disease Ordinance, 1952, I hereby give you notice to attend for and submit to further examination and treatment of

in accordance with direction given by

and to continue to do so, until a clearance certificate in respect of yourself has been issued.

FORM 3-(section 5).

Clearance Certificate.

(under section 5 of the Venereal Disease Ordinance, 1952).

To: Deputy Director of Health Services,

I

Medical Department Headquarters.

(medical practitioner) hereby certify that I have this day examined (insert name of contact),

and I am of opinion that :

is not, at the

+

*

(a) the said

date hereof, suffering from a venereal disease in a communicable form;

(b) the said

any further treatment.

* strike out whichever is not applicable.

does not require

Dated this

day of

1 19

Note:

(Signed)

Medical Practitioner.

-The contact may be informed by the medical practitioner of the contents of the certificate but it should not be handed to the contact.

Dated this

day of

19

(Signed)

Medical Practitioner.

Passed the Legislative Council of Hong Kong, this 9th day

of January, 1952.

Deputy Clerk of Councils.