The Director of Mental Health requires the use of the Mental Health Act forms identified below, under Section 133A of the Mental Health (Compulsory Assessment and Treatment) Act 1992 (the Mental Health Act).
Forms
Word format
These forms can be filled out electronically.
- Section 8A. Application for assessment 16.11.2021 (Word, 53 KB)
- Section 8B. Certificate supporting an application for assessment (Word, 59 KB) - Updated 18 February 2022
- Notice to attend an assessment examination. Section 9 (Word, 52 KB) - Updated 1 November 2021
- Certificate of preliminary assessment. Section 10 (Word, 62 KB) - Updated 1 November 2021
- Clinical Report for Director of Area Mental Health Services (Word, 64 KB) - Updated 1 November 2021
- Notice requiring patient to undergo a 5 day further period of assessment and treatment. Section 11 (Word, 49 KB) - Updated 1 November 2021
- Section 34. Application for extension of compulsory treatment order 12.11.2021 (Word, 45 KB)
- Application for assessment of person detained in a penal institution. Section 45 (Word, 52 KB) - Updated 1 November 2021
- Transfer of detained person. Section 46 (Word, 63 KB)
- Section 79(7) Certificate of Tribunal Review 22.11.2021 (Word, 59 KB) - Updated 29 November 2021
- Reportable event notification form (Word, 256KB)
PDF format
These forms can be printed and filled out manually.
- Section 8A Application for assessment 16.11.2021 (PDF, 195 KB)
- Section 8B. Certificate supporting an application for assessment (PDF, 175 KB) - Updated 18 February 2022
- Notice to attend an assessment examination. Section 9 (PDF, 201 KB) - Updated 1 November 2021
- Certificate of preliminary assessment. Section 10 (PDF, 193 KB) - Updated 1 November 2021
- Clinical Report for Director of Area Mental Health Services (PDF, 225 KB) - Updated 1 November 2021
- Notice requiring patient to undergo a 5 day further period of assessment and treatment. Section 11 (PDF, 142 KB) - Updated 1 November 2021
- Notice to patient subject to a section 11 or section 13 assessment notice directing change from outpatient to inpatient status. Section 11(3), 13(3) (PDF, 32 KB)
- Notice to patient subject to a section 11 or section 13 assessment notice directing change from inpatient to outpatient status. Section 11(4), 13(4) (PDF, 32 KB)
- Certificate of further assessment. Section 12 (PDF, 153 KB)
- Notice requiring patient to undergo a 14 day further period of assessment and treatment. Section 13 (PDF, 33 KB)
- Certificate of final assessment. Section 14 (PDF, 302 KB)
- Application for compulsory treatment order. Section 14(4) (PDF, 22KB)
- Report form for Second Health Professional. Section 16(4) (PDF, 70 KB)
- Notice to patient subject to a community treatment order directing change to inpatient status under section 29(3)(a) or re-assessment under section 29(3)(b) (PDF, 22 KB)
- Leave of absence for inpatient. Section 31 (PDF, 31 KB)
- Notice of cancellation of leave. Section 31(4) (PDF, 29 KB)
- Section 34 Application for extension of compulsory treatment order 12.11.2021 (PDF, 153 KB)
- Application for assessment of person detained in a penal institution. Section 45 (PDF, 170 KB) - Updated 1 November 2021
- Transfer of detained person. Section 46 (PDF, 197 KB)
- Application for leave to Director of Mental Health, Ministry of Health. Section 52 (PDF, 132 KB)
- Referral for second opinion under section 59(2)(b) (PDF, 18 KB)
- Section 59(2)(b) second opinion. Section 59 (PDF, 16 KB)
- Certificate of clinical review of condition of patient subject to compulsory treatment order. Section 76(3) (PDF, 82 KB)
- Certificate of clinical review of condition of patient found to be unfit to stand trial and detained as special patient. Section 77(3) (PDF, 82 KB)
- Certificate of clinical review of condition of special patient acquitted on account of insanity and detained as special patient. 77(4) (PDF, 82 KB)
- Certificate of clinical review of condition of restricted patient. Section 78(3) (PDF, 90 KB)
- Section 79(7) Certificate of Tribunal Review 22.11.2021 (PDF, 195 KB) - Updated 29 November 2021
- Certificate of Tribunal Review of condition of special patient found to be unfit to stand trial and detained pursuant to order made under Section 24(2)(A) of the Criminal Procedure (Mentally Impaired Persons) Act 2003 (PDF, 97 KB)
- Certificate of Tribunal Review of condition of special patient acquitted on account of insanity and detained pursuant to order made under Section 24(2)(A), Criminal Procedure (Mentally Impaired Persons) Act 2003 (PDF, 96 KB)