Statistics Act, 1999
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)
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an assisted
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or |
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Involuntary mental health care user
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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]
