1961-HKRS30-8-52_Part01 — Page 8

To:

of

10

FORM 9.

MENTAL HEALTH ORDINANCE, 1960.

(No. 35 of 1960).

(Section 36(1)).

Notice of signing of certificate in respect of a temporary patient.

OR

i

To:

FORM 11.

11

MENTAL HEALTH ORDINANCE, 1960.

(No. 35 of 1960).

(Section 42).

Application for discharge of a patient before recovery.

The Medical Superintendent of the Mental Hospital known as ......................

and

of

The Director of Social Welfare.

We

and

of

give notice to you that in exercise of the powers conferred on us by subsection (1) of section 36 of the Mental Health Ordinance we have signed a certificate in accordance with the provisions of that subsection that We are of the opinion that

is a mentally disordered person.

simata at

T

of

make application in accordance with

the provisions of subsection: (1) of section 42 of the Mental Health Ordinance, 1960), fox the discharge of from the above-named Mental Hospital.

My relationship por connexion with the said patient is that of a

་་*i----་P-,,--ས

Dated this

.. day of

19..........

3.

Registered medical practitioner,

Registered medical practitioner.

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 or to others.

*I am the person upon whose application the said patient was ademitted to a mental hospital

OR

FORM 10.

I have given notice of this application to

the person upon whose application the said patient was admitted to a mental hospital,

Dated this

19.

MENTAL HEALTH ORDINANCE, 1960.

(No. 35 of 1960).

(Section 3914).

Certificate that a patient who is absent on trial need not be further detained.

• Delete whichever is inapplicable.

Note: The patient must be discharged within 48 hours unless the Medical

Superintendent completes Form 12 overleaf.

I

KARNAL KARA

Superintendent of the Mental Hospital known as

Medical

FORM 12.

day of

and situate al certify in accordance with the provisions of subsection (4) of section 39 of the Mental Health Ordinance, 1960, that it is not necessary thar

who was detained in that bospital as a certified patient/temporary patient/ patient under observation and who is now absent on trial from that hospital, be detained in a Mental Hospital.

Dated this.***............................

• Delete whichever is inapplicable.

MENTAL, HEALTH ORDINANCE, 1960.

(No. 35 of 1960).

(Section 42).

Certificate of refusal to discharge a patient.

19.

Medical Superintendent

Medical Superintendent.

of the Mental Hospital Inown as Bituate at

Hong Kon