4. I have made reasonable inquiries and I have no knowledge of any spouse, partner or relative of (Full name of person to be assessed) Last Name. (4) Despite subsection 39 (15) of this Act and subsection 75 (2) of the Health Care Consent Act, 1996, the hearing of an application made under subsection 39 (6) or of this Act before June 21, 2016 shall begin within 28 days after the day the Board receives the application, unless the parties agree to a postponement. First Name. Review the Mental Health Act Have a look at the Forms ... Health Act? Ontario’s Mental Health Act, like the Criminal Code, gives courts certain powers to have an accused person sent to a hospital for a psychiatric examination. A Form 2 is an “Order for Examination” under the Mental Health Act of Ontario, signed by the Justice of the Peace. •Provincial legislation regulating mental health care in Ontario •Regulates the assessment, admission & treatment of a person with a mental disorder in a psychiatric facility •Defines the rights of patients in ... •Form 4 is the renewal form of a Form 3, lasting longer The PPAO supports and protects the rights of persons with mental illness in Ontario. This material does not give an official interpretation of the law and is not a replacement for professional advice or a substitute for reading the legislation. 2015, c. 36, s. 16. The Mental Health Act sets out the powers and obligations of psychiatric facilities in Ontario. In each province, there are guidelines governing who can request or order admittance to these facilities, how long individuals may stay or be kept, and the procedures for reviewing findings of mental incompetence. 6429–41 (2000/12) Queen’s Printer for Ontario, 2000 7530–4974 Ministry of Health Certificate of Involuntary Admission Form 3 Mental Health Act (print name of physician) (print name of patient) Name of physician Name of patient Date of examination I hereby certify that the following three pieces of information are correct: 1. 19-1-14CIS-REVISED Page 1 of 4 WHITBY MENTAL HEALTH CENTRE INDEX OF MENTAL HEALTH ACT FORMS Note: Forms numbers missing in sequence have been revoked Form # Form Name Corresponding Section of the Act Who Signs When Expiration Date Edition Date 1 Application by Physician for ... Coming into Ontario 32 Minister of Health and Long-Term Care THe PPAO also provides advocacy services to some 3,400 in-patients every year at the 10 primary mental health hospitals in Ontario. Every year, the PPAO provides rights advice to some 25,000 persons who are placed on involuntary admission to hospital or declared incapable of consenting to their care. Substitute Decisions Act, 1992. for the appointment of a guardian of property for them. Keep yourself safe. 1076–41 (2010/05) Queen’s Printer for Ontario, 2010 7530–4275 Ministry of Health Notice to Patient under Subsection 38(1) of the Act Form 30 Mental Health Act (print name of patient) This is to inform you that you are being detained under the authority of a (date) I completed this certificate on (Disponible en version française) See reverse. It also gives police officers and doctors certain powers to have someone sent for a psychiatric assessment.. At the same time, the Mental Health Act protects the rights of persons with mental health issues who are in a psychiatric facility. It is an order for an assessment by a doctor. It governs the admission process, the different categories of patient admission, as well as directives around assessment, care and treatment. The Mental Health Act provides another way, known as a “Form 2,” to have your family member assessed. Explain that it is a mental health emergency, in case there is a mental health crisis response team. Mental Health and the Law The purpose of this publication is to help you understand the Mental Health Act and parts of the Substitute Decisions Act and the Health Care Consent Act. If your family member is agitated, threatening or aggressive, call 911 while making sure you and others are safe. 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