Page:Mental Health (Care and Treatment) Act 2008.pdf/23

From Wikisource
Jump to navigation Jump to search
This page has been proofread, but needs to be validated.
MENTAL HEALTH (CARE AND TREATMENT)
23


FORM 4

Section 13(1) and (6)

MENTAL HEALTH (CARE AND TREATMENT) ACT 2008

APPLICATION 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 . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Visitors