This regulation prescribes Forms 1 to 24 for use under The Mental Health Act, repeals Manitoba Regulation 189/91, and says the regulation starts on proclamation of The Mental Health and Consequential Amendments Act.
Mental Health Act Forms Regulation, M.R. 145/99 The Mental Health Act , C.C.S.M. c. M110 Regulation 145/99 Registered October 15, 1999 bilingual version (HTML) Forms prescribed 1 Forms 1 to 24 are prescribed for use under The Mental Health Act . Repeal 2 Manitoba Regulation 189/91 is repealed. Coming into force 3 This regulation comes into force on proclamation of The Mental Health and Consequential Amendments Act , S.M. 1998, c. 36. TABLE OF FORMS Note: Each of the following is a PDF image of the prescribed form. Each form is designed to be completed as a set with the original and one or more copies to be provided to different parties. The printed form sets are available on request from the Director of Psychiatric Services. Form 1 Application for an Order for Involuntary Medical Examination Form 2 Order for Involuntary Medical Examination Form 3 Notice to Person in Custody Form 4 Application by Physician for Involuntary Psychiatric Assessment Form 5 Application by Attending Physician for Change of Patient's Status from Voluntary to Involuntary Form 6 Involuntary Admission Certificate Form 7 Renewal Certificate Form 8 Certificate of Change of Status to Voluntary Patient Form 9 Certificate of Incompetence to make Treatment Decisions Form 10 Certificate of Incompetence to Manage Property Form 11 Attending Physician's Statement that Patient in Psychiatric Facility has Regained Competence Form 12 Notice of Cancellation of Certificate of Incompetence Form 13 Request for Discharge by Voluntary Patient Form 14 Order for Return of Patient Absent Without Permission Form 15 Leave Certificate or Extension of Leave Form 16 Revoke or Amend Leave Certificate Form 17 Cancellation of Leave Certificate Form 18 Patient's Application to Mental Health Review Board Form 19 Facility's Application to Mental Health Review Board Form 20 Authorization of Transfer Form 21 Certificate of Incapacity Form 22 Order of Committeeship Form 23 Physician's Statement that Person is no Longer Incapable of Managing Property or of Personal Care Form 24 Notice of Cancellation of Certificate of Incapacity and Order of Committeeship