Schedule 1

FIRST SCHEDULESection 10(1)FORM 1MENTAL HEALTH (CARE AND TREATMENT) ACT 2008ORDER FOR ADMISSION OR FURTHER TREATMENT OF A PATIENTTo:The principal officer, .............................. Institution. I, the undersigned designated medical practitioner, hereby order that ............................................. of ............................................... be *admitted for treatment/detained for further treatment under section 10(1) of the Mental Health (Care and Treatment) Act 2008 on account of suspected mental disorder. Signature: .................................................. (Name in block letters) ............................. Witness: .................................................... (Name in block letters) ............................ Date:....................Time:...................*Delete whichever is inapplicable. FORM 2Section 10(2)MENTAL HEALTH (CARE AND TREATMENT) ACT 2008ORDER OF DETENTION OF A PATIENT FOR FURTHER TREATMENTTo:The principal officer, ............................ Institution. I, the undersigned designated medical practitioner, hereby order that ........................................ of .................................................... be detained for further treatment under section 10(2) of the Mental Health (Care and Treatment) Act 2008 on account of suspected mental disorder. Signature: ................................................... (Name in block letters) ................................ Witness: .................................................... (Name in block letters) ................................ Date:....................Time:..................FORM 3Section 10(4)MENTAL HEALTH (CARE AND TREATMENT) ACT 2008ORDER OF DETENTION OF A PATIENT FOR FURTHER TREATMENTTo:The principal officer, ................................ Institution. I, the undersigned, ………………………………………………..…………(here enter name and official designation)hereby certify that I on the …………… day of ……….………….. 20…………… at ……..……………….….. personally examined (separately from any other practitioner) ………………….…………………………………(here enter name and residence of person examined)and that the said ………………………………… is mentally disordered and a proper person to be taken charge of and detained for further treatment and that I have formed this opinion on the following grounds: STATEMENT1.Facts indicating mental disorder observed by myself ………... …………………………………………………………………(here state the facts)2.Other facts, if any, indicating mental disorder communicated to me by others ……………………..………….………………....… ………………….…………………………………..………… ……………………………………………………………..…(here state the information and from whom) And I hereby order that the said ……………………………………………. be detained at the …………………………………………. Institution for further psychiatric treatment. Dated this ………. day of ………………. 20….. ……………………….………………………………*Designated Medical Practitioner/ Designated Medical Practitioner (Psychiatrist) *Delete whichever is inapplicable.FORM 4Section 13(1) and (6)MENTAL HEALTH (CARE AND TREATMENT) ACT 2008APPLICATION BY VISITORS FOR ORDER OF DETENTION We, the visitors of ....................................................... Institution being satisfied by the report of ............................................................. principal officer of the said Institution, and by personal inspection, that ........................................................ a patient detained under section 10(3) of the Mental Health (Care and Treatment) Act 2008 should be further detained for care and treatment hereby make application to a Magistrate for an order for the further detention of the said ...................................................... Signed .............................................................. ........................................................................ ............................................................. VisitorsFORM 5MENTAL HEALTH (CARE AND TREATMENT) ACT 2008MAGISTRATE’S ORDER OF DETENTIONWhereas ........................................................................................................................................................................................................................................................... the Visitors of ......................................... Institution, have applied to me for an order that .................................................................... a patient detained under section 10(3) of the Mental Health (Care and Treatment) Act 2008 should be further detained for care and treatment: Now therefore, I, the undersigned Magistrate, do hereby order that the said ............................................... be further detained. Dated at .............. this ............. day of ................ 20 ....... Signed .................................................. MagistrateFORM 6Section 16(1)MENTAL HEALTH (CARE AND TREATMENT) ACT 2008TRANSFER ORDERTo:The principal officer of the .................................. and to ................................. Whereas I have seen fit to order that ........................ who is detained as a patient in ....................................... Institution be removed from that Institution and transferred to ............................................... Institution. Now I do hereby require you the principal officer of the ....................................... Institution to deliver up the said patient to ....................................... at ..................................................... And I do hereby require you ............................................ to bring or cause to be brought the said patient .................................. to the ................................. Institution and to deliver him to the officer in charge of the ......................................................... Institution. Given under my hand, this .................. day of ............................. 20..... ........................................................ Director of Medical Services