Diamonds Act, 1986
R 385
Mental Health Care Act, 2002 (Act No. 17 of 2002)RegulationsGeneral RegulationsAnnexuresForm MHCA 11 |
ANNEXURE
FORM MHCA 11
DEPARTMENT OF HEALTH
TRANSFER OF ASSISTED / INVOLUNTARY MENTAL HEALTH CARE USER ON INPATIENT BASIS TO ANOTHER HEALTH ESTABLISHMENT
(Section 27(10) and 34(4), of the Act)
.......................................................................................................
(name and surname of mental health care user)
|
an assisted
|
or |
|
Involuntary mental health care user
|
on an inpatient basis who was admitted to ...................................................................................(name of health establishment)
on ...........................................(date) must be transferred to .......................................................(name of health establishment)
Print initials and surname ................................................................................
(head of health establishment)
Signature: .............................................................................................
(Head of health establishment)
Date: ...............................
Place: ........................................
[Copy to Review Board]
