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human rights and legislation who resource book on mental health

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Annex 8.<br />

Example: Forms for involuntary admissi<strong>on</strong><br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> treatment (combined approach) <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

appeal form, Victoria, Australia<br />

SCHEDULE 1<br />

Regulati<strong>on</strong> 5(1)<br />

FORM OF INVOLUNTARY ADMISSION REQUEST<br />

Mental Health Act 1986<br />

(Secti<strong>on</strong> 9)<br />

Mental Health Regulati<strong>on</strong>s 1998<br />

PART A<br />

REQUEST FOR ADMISSION OF A PERSON AS AN INVOLUNTARY PATIENT TO AN<br />

APPROVED MENTAL HEALTH SERVICE<br />

TO THE ADMITTING REGISTERED MEDICAL PRACTITIONER<br />

Please admit<br />

GIVEN NAME(S)/FAMILY NAME (BLOCK LETTERS) of pers<strong>on</strong> to be admitted<br />

of<br />

(ADDRESS OF PERSON TO BE ADMITTED)<br />

as an involuntary patient to an appropriate approved <strong>mental</strong> <strong>health</strong> service.<br />

PART B<br />

DETAILS OF PERSON MAKING THE REQUEST<br />

GIVEN NAME(S)/FAMILY NAME (BLOCK LETTERS) of pers<strong>on</strong> making the request<br />

of<br />

address of pers<strong>on</strong> making the request<br />

signed<br />

date<br />

173

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