CO129-504-15 Various ordinances 4-4-1927 - 29-11-1927 — Page 45

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FORM NO. 5.

Form of order to be given by the senior medical officer for the time being present in and on the staff of a hospital for the removal to an asylum for the purpose of detention and observation of a patient who shows symptoms of suffering from delirium

tremens.

Asylums Ordinance, 1906, s. 11.

n and on the staff of the.............

.of..

being the senior officer for the time being present

...hospital, have examined....

...a patient in the said hospital and find that he shows symptoms of suffering from delirium tremens and I hereby order him to be removed from the said hospital to the (Government) Asylum and to be detained there under observation for a period not exceeding seven days from and including the date of this order.

Dated the..

....day of.................

19......

(Signature.)

NOTE. The medical officer signing this order must be a registered medical practitioner, or a Government medical officer, or a medical officer of This Majesty's Navy or Army serving in the Colony on full pay, or a professor of the Faculty of Medicine of the University of Hong Kong.