Mental Hospitals.
Mental Hospitals Ordinance, s. 7 (Chapter 136 of the Revised Edition.)
I ...have reason to believe that ...of ...is a person of unsound mind.
The reasons for my belief are as follows--
1. (Result of personal observation):
2. (Facts communicated to me by others):
(a) (Name) .......of ......who is said to be ......of the person in question, has been communicated with, with the following result-
or
[CAP. 136
Strike out the inappropriate paragraph.
(b) No relative of the person in question can be found in the Colony.
I therefore apply under section 7 of the Mental Hospitals (Cap. 136.) Ordinance, for a written order authorizing the said ...to be conveyed to the Government Mental Hospital and to be detained there under observation for a period not exceeding seven days.
Dated the .........day of ......19......
Signature of applicant.
47
I
Mental Hospitals.
Mental Hospitals Ordinance, s. 7 (Chapter 136 of the Revised Edition.)
of
.have reason to believe that
...of
..is a person of unsound mind.
The reasons for my belief are as follows--
1. (Result of personal observation):
2. (Facts communicated to me by others):
(a) (Name)
.......of
who is said to be
of the person in question, has been communicated with,
with the following result-
or
[CAP. 136
Strike out the irappropriate paragraph.
(b) No relative of the person in question can be found in
the Colony.
I therefore apply under section 7 of the Mental Hospitals (Cap. 136.)
Ordinance, for a written order authorizing the said
..to be conveyed to the Government Mental Hospital
and to be detained there under observation for a period not
exceeding seven days.
Dated the .........day of
47
19......
Signature of applicant.
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