Prevention of and Treatment for Substance Abuse Act, 2008 (Act No. 70 of 2008)

Regulations

Regulations for Prevention of and Treatment for Substance Abuse, 2013

Annexures

Annexure F : Forms

Form 8 : Transfer and retransfer of involuntary service user from or to child and youth care centre, alternative care or health establishment to public treatment centre and retransfer

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FORM 8

TRANSFER AND RETRANSER OF INVOLUNTARY SERVICE USER FROM OR TO CHILD AND YOUTH CARE CENTRE, ALTERNATIVE CARE OR HEALTH ESTABLISHMENT TO PUBLIC TREATMENT CENTRE AND RETRANSFER

PREVENTION OF AND TREATMENT FOR SUBSTANCE ABUSE ACT, 2008

(ACT NO. 70 OF 2008)

(Regulation 47)

Department of Social Development/Service Provider reference number:

_________________________________________________________________________________

Reference number:

_________________________________________________________________________________

1.	PARTICULARS OF SERVICE USER OR CHILD

Name ___________________________________________________________________

__________________________________________________________________________

ID Number: _______________________________________________________________

Particulars of the transferring treatment centre

Name ____________________________________________________________________

Physical address of treatment centre

__________________________________________________________________________

Postal address of institution

__________________________________________________________________________

Name and address of Court (where applicable) where the court order was initially issued:

__________________________________________________________________________

Court order issued in terms of which section of the Act? _________________________

__________________________________________________________________________

2.	TRANSFER OF A SERVICE USER (Provide information, where applicable)

(a)	Retransfer to health establishment: Name and address of health establishment

__________________________________________________________________________

Effective date of transfer: ___________________________________________________

(b)	Retransfer to child and youth care centre: Name and address of youth care centre:

__________________________________________________________________________

Effective date of retransfer:

__________________________________________________________________________

(c)	Re-transfer to alternative care centre: Name and address of alternative care centre

__________________________________________________________________________

Effective date of retransfer:

_________________________________________________________________________________

Prevention of and Treatment for Substance Abuse Act, 2008 (Act No. 70 of 2008)

Regulations

Regulations for Prevention of and Treatment for Substance Abuse, 2013

Annexures

Annexure F : Forms

Form 8 : Transfer and retransfer of involuntary service user from or to child and youth care centre, alternative care or health establishment to public treatment centre and retransfer

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