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Mental Health Care Act, 2002 (Act No. 17 of 2002)

Regulations

General Regulations

Chapter 7 : Compulsory Records

39. Records

 

The following records must be kept in a health establishment that is designated in terms of section 5 of the Act:

(a) A register recording the admission, discharge, death, transfer and change in legal status of every mental health care user in that facility and leaves of absence or abscondments;
(b) a medical record of all information concerning the physical and mental health of a mental health care user and records of treatments which have been prescribed and administered including the date on which an entry into such records has been made, the full signature, name in print and all the qualifications of the mental health care practitioner who made that entry;
(c) administrative records of legal documents and copies of correspondence concerning the mental health care user; and
(d) a record of any minor or major injury sustained by a mental health care user in that psychiatric hospital or care and rehabilitation centre.

 

[Regulation 39 substituted by regulation 22 of Notice No. 1590, GG 40515, dated 23 December 2016]