To the Director of Area Mental Health Services, at [location]

Name of patient: [full name]

Patient’s date of birth:

Address:

who is subject to a compulsory treatment order that was made under [section and Act under which compulsory order made] and commenced on [commencement date of compulsory order in force] and is in force until [expiry date of compulsory order in force].

I have examined the patient and have consulted with other health professionals involved in the treatment and care of the patient and have taken their views into account when assessing the results of my review of the patient’s condition.

In my opinion:

or

If I am of the opinion that the patient is not fit to be released from compulsory status, I will send a copy of this certificate to each of the following: [tick those applicable]

I will enclose with each copy of this certificate a statement of—

I will send to the Director of Area Mental Health Services, with this certificate, full particulars of the reasons for my opinion of the patient’s condition and any relevant reports from other health professionals involved in the case.

This certificate is issued by [name of responsible clinician who conducted the review]

Address: [business address and telephone number of responsible clinician]

If, on a clinical review under section 76 of the Mental Health (Compulsory Assessment and Treatment) Act 1992 of the condition of a patient, the responsible clinician is of the opinion that the patient is not fit to be released from compulsory status, that patient will be required to continue to undergo treatment under that Act.

There is however a further step that may be taken.

Each of the following persons may apply to the Review Tribunal for a review of the patient’s condition:

If any such person wishes to apply to the Review Tribunal, that person may seek help from—

The district inspector who receives a copy of this certificate (or an official visitor acting under an arrangement with that district inspector) must—

If that district inspector or any such official visitor considers that such an application should be made, that district inspector or that official visitor is required to take whatever reasonable steps he or she thinks necessary to encourage or assist the patient, or any of the other persons entitled to apply to the Tribunal, to make such an application.

If that district inspector or any such official visitor considers that an application should be made to have the patient’s condition reviewed by the Review Tribunal, but neither the patient nor any other person intends to make such an application, the district inspector or any such official visitor may report the matter to the Review Tribunal. In such a case, the Review Tribunal may, of its own motion, review the patient’s condition under section 79 of the Mental Health (Compulsory Assessment and Treatment) Act 1992 as if an appropriate application for such a review had been made to the Review Tribunal.

The Review Tribunal, on conducting such a review, may find that—

For further information about the Review Tribunal, see sections 79, 82, and 101 to 107 of the Mental Health (Compulsory Assessment and Treatment) Act 1992.

To the Director of Area Mental Health Services, at [location]

Name of patient: [full name]

Patient’s date of birth:

Address:

who was found to be under disability and who is detained pursuant to an order made under section 24(2)(a) of the Criminal Procedure (Mentally Impaired Persons) Act 2003 and dated [date of court order].

I have examined the patient and have consulted with other health professionals involved in the treatment and care of the patient and have taken their views into account when assessing the results of my review of the patient’s condition.

In my opinion:

or

or

I will send a copy of this certificate to each of the following: [tick those applicable]

I will enclose with each copy of this certificate a statement of—

I will, in addition, send a copy of this certificate to the Attorney-General for the purposes of section 31 of the Criminal Procedure (Mentally Impaired Persons) Act 2003, if my opinion is either—

I will send to the Director of Area Mental Health Services, with this certificate, full particulars of the reasons for my opinion of the patient’s condition and any relevant reports from other health professionals involved in the case.

This certificate is issued by [name of responsible clinician who conducted the review]

Address: [business address and telephone number of responsible clinician]

A copy of this certificate will be sent to the Attorney-General for the purposes of section 31 of the Criminal Procedure (Mentally Impaired Persons) Act 2003, if, on a clinical review under section 77(3) of the Mental Health (Compulsory Assessment and Treatment) Act 1992 of the condition of a patient who was ordered to be detained following a finding of disability, the responsible clinician is of the opinion that—

The Attorney-General will—

If, on the clinical review, the responsible clinician is of the opinion that the patient is still under disability and should continue to be subject to the order of detention as a special patient, the patient will continue to be detained as a special patient.

There is however a further step that may be taken.

Each of the following persons may apply to the Review Tribunal for a review of the patient’s condition:

If any such person wishes to apply to the Review Tribunal, that person may seek help from—

The district inspector who receives a copy of this certificate (or an official visitor acting under an arrangement with that district inspector) must—

If that district inspector or any such official visitor considers that such an application should be made, that district inspector or that official visitor is required to take whatever reasonable steps he or she thinks necessary to encourage or assist the patient, or any of the other persons entitled to apply to the Tribunal, to make such an application.

If that district inspector or any such official visitor considers that an application should be made to have the patient’s condition reviewed by the Review Tribunal, but neither the patient nor any other person intends to make such an application, the district inspector or any such official visitor may report the matter to the Review Tribunal. In such a case, the Review Tribunal may, of its own motion, review the patient’s condition under section 80 of the Mental Health (Compulsory Assessment and Treatment) Act 1992 as if an appropriate application for such a review had been made to the Review Tribunal.

The Review Tribunal, on conducting such a review, may find that—

For further information about the Review Tribunal, see sections 80, 82, and 101 to 107 of the Mental Health (Compulsory Assessment and Treatment) Act 1992.

To the Director of Area Mental Health Services, at [location]

Name of patient: [full name]

Patient’s date of birth:

Address:

who was acquitted on account of insanity and who is detained pursuant to an order made under section 24(2)(a) of the Criminal Procedure (Mentally Impaired Persons) Act 2003 and dated [date of court order].

I have examined the patient and have consulted with other health professionals involved in the treatment and care of the patient and have taken their views into account when assessing the results of my review of the patient’s condition.

I have also considered whether or not the patient’s condition still requires, either in the patient’s own interest or for the safety of the public, that the patient should be subject to the order of detention as a special patient.

In my opinion:

or

I will send a copy of this certificate to each of the following: [tick those applicable]

I will enclose with each copy of this certificate a statement of—

If my opinion is that the patient’s condition does not require the detention of the patient as a special patient, I will, in addition, send a copy of this certificate to the Minister of Health for the purposes of section 33 of the Criminal Procedure (Mentally Impaired Persons) Act 2003.

I will send to the Director of Area Mental Health Services, with this certificate, full particulars of the reasons for my opinion of the patient’s condition and any relevant reports from other health professionals involved in the case.

This certificate is issued by [name of responsible clinician who conducted the review]

Address: [business address and telephone number of responsible clinician]

If, on a clinical review under section 77(4) of the Mental Health (Compulsory Assessment and Treatment) Act 1992 of the condition of a patient who was ordered to be detained following acquittal on account of insanity, the responsible clinician is of the opinion that the patient’s condition no longer requires, either in the patient’s own interest or for the safety of the public, that he or she should be subject to the order of detention as a special patient, that clinician will also send a copy of this certificate to the Minister of Health for the purposes of section 33 of the Criminal Procedure (Mentally Impaired Persons) Act 2003.

The Minister of Health may—

If, on the clinical review, the responsible clinician is of the opinion that the patient’s condition still requires, either in the patient’s own interest or for the safety of the public, that the patient should be subject to the order of detention as a special patient, the patient will continue to be detained as a special patient.

There is however a further step that may be taken.

Each of the following persons may apply to the Review Tribunal for a review of the patient’s condition:

If any such person wishes to apply to the Review Tribunal, that person may seek help from—

The district inspector who receives a copy of this certificate (or an official visitor acting under an arrangement with that district inspector) must—

If that district inspector or any such official visitor considers that such an application should be made, that district inspector or that official visitor is required to take whatever reasonable steps he or she thinks necessary to encourage or assist the patient, or any of the other persons entitled to apply to the Tribunal, to make such an application.

If that district inspector or any such official visitor considers that an application should be made to have the patient’s condition reviewed by the Review Tribunal, but neither the patient nor any other person intends to make such an application, the district inspector or any such official visitor may report the matter to the Review Tribunal. In such a case, the Review Tribunal may, of its own motion, review the patient’s condition under section 80 of the Mental Health (Compulsory Assessment and Treatment) Act 1992 as if an appropriate application for such a review had been made to the Review Tribunal.

The Review Tribunal, on conducting such a review, may find that—

For further information about the Review Tribunal, see sections 80, 82, and 101 to 107 of the Mental Health (Compulsory Assessment and Treatment) Act 1992

To the Director of Area Mental Health Services, at [location]

Name of patient: [full name]

Patient’s date of birth:

Address:

who has been declared a restricted patient by the court under section 55 of the Mental Health (Compulsory Assessment and Treatment) Act 1992 and is subject to a compulsory treatment order that commenced on [commencement date of compulsory order in force] and is in force until [expiry date of compulsory order in force].

I have examined the patient and have consulted with other health professionals involved in the treatment and care of the patient and have taken their views into account when assessing the results of my review of the patient’s condition.

In my opinion:

or

or

I will send a copy of this certificate to each of the following: [tick those applicable]

I will enclose with each copy of this certificate a statement of—

If my opinion is that the patient is not fit to be released from compulsory status but it is no longer necessary that the patient should be declared to be a restricted patient, I will, in addition, send a copy of this certificate to the Minister of Health for consideration by that Minister under section 78(6) of the Mental Health (Compulsory Assessment and Treatment) Act 1992.

I will send to the Director of Area Mental Health Services, with this certificate, full particulars of the reasons for my opinion of the patient’s condition and any relevant reports from other health professionals involved in the case.

This certificate is issued by [name of responsible clinician who conducted the review]

Address: [business address and telephone number of responsible clinician]

If, on a clinical review under section 78 of the Mental Health (Compulsory Assessment and Treatment) Act 1992 of the condition of a restricted patient, the responsible clinician is of the opinion that the patient is fit to be released from compulsory status, the Director of Mental Health will either—

If, on the clinical review, the responsible clinician is of the opinion that the patient is not fit to be released from compulsory status but it is no longer necessary that the patient should be declared to be a restricted patient, a copy of this certificate will be sent to the Minister of Health for consideration by that Minister under section 78(6) of the Mental Health (Compulsory Assessment and Treatment) Act 1992.

The Minister of Health will, after consultation with the Attorney-General, either—

If, on the clinical review, the responsible clinician is of the opinion that the patient is not fit to be released from compulsory status and should continue to be declared to be a restricted patient, the patient will continue to be detained as a restricted patient.

There is however a further step that may be taken.

Each of the following persons may apply to the Review Tribunal for a review of the patient’s condition:

If any such person wishes to apply to the Review Tribunal, that person may seek help from—

The district inspector who receives a copy of this certificate (or an official visitor acting under an arrangement with that district inspector) must—

If that district inspector or any such official visitor considers that such an application should be made, that district inspector or that official visitor is required to take whatever reasonable steps he or she thinks necessary to encourage or assist the patient, or any of the other persons entitled to apply to the Tribunal, to make such an application.

If that district inspector or any such official visitor considers that an application should be made to have the patient’s condition reviewed by the Review Tribunal, but neither the patient nor any other person intends to make such an application, the district inspector or any such official visitor may report the matter to the Review Tribunal. In such a case, the Review Tribunal may, of its own motion, review the patient’s condition under section 80 of the Mental Health (Compulsory Assessment and Treatment) Act 1992 as if an appropriate application for such a review had been made to the Review Tribunal.

The Review Tribunal, on conducting such a review, may find that—

For further information about the Review Tribunal, see sections 80, 82, and 101 to 107 of the Mental Health (Compulsory Assessment and Treatment) Act 1992.

To the Director of Area Mental Health Services, at [location]

The Review Tribunal has reviewed the condition of

Name of patient: [full name]

Patient’s date of birth:

of: [address]

who is subject to a compulsory treatment order that was made under [section and Act under which compulsory order was made] and commenced on [commencement date of compulsory order in force] and is in force until [expiry date of compulsory order in force].

The review of the patient’s condition was conducted by the Review Tribunal:

or

In reviewing the patient’s condition, the Review Tribunal has complied with the provisions of Schedule 1 of the Mental Health (Compulsory Assessment and Treatment) Act 1992.

In the opinion of the Tribunal:

or

Where the Review Tribunal is of the opinion that the patient is not fit to be released from compulsory status, the convener of the Review Tribunal will send a copy of this certificate to each of the following: [tick those applicable]

The convener of the Review Tribunal will enclose with each copy of that certificate a statement of—

to appeal to a District Court against the decision.

Where, on a review under section 79 of the Mental Health (Compulsory Assessment and Treatment) Act 1992 of the condition of a patient, the Review Tribunal finds that the patient is not fit to be released from compulsory status, that patient will be required to continue to undergo treatment under that Act.

There is however a further step that may be taken.

Each of the following persons, namely,—

may, within 1 month after the date of the Review Tribunal’s decision, appeal to a District Court against that decision.

If any such person wishes to appeal to a District Court against the decision, that person may seek help from—

The district inspector who receives a copy of this certificate (or an official visitor acting under an arrangement with that district inspector), must, after talking to the patient and ascertaining the patient’s wishes in the matter, consider whether or not an appeal should be made to a District Court against the Review Tribunal’s decision.

If the district inspector or any such official visitor considers that such an appeal should be made, that district inspector or that official visitor shall take whatever steps he or she thinks necessary to encourage or assist the patient, or any of the other persons entitled to appeal, to make such an appeal.

If that district inspector or any such official visitor considers that an appeal against the Review Tribunal’s decision should be made, but neither the patient nor any other person intends to make such an appeal, the district inspector or any such official visitor may report the matter to a District Court; and, in such a case, a District Court Judge may, of his or her own motion, review the patient’s condition as if an appropriate appeal had been made to the District Court.

On any such appeal, the District Court shall review the patient’s condition to determine whether or not the patient is fit to be released from compulsory status.

For further information about the review of a patient’s condition on an appeal, see sections 16 and 83 of the Mental Health (Compulsory Assessment and Treatment) Act 1992.

To the Director of Area Mental Health Services, at [location]

The Review Tribunal has reviewed the condition of

Name of patient: [full name]

Patient’s date of birth:

of: [address]

who was found to be under disability and who is detained pursuant to an order made under section 24(2)(a) of the Criminal Procedure (Mentally Impaired Persons) Act 2003 dated [date of court order].

The review of the patient’s condition was conducted by the Review Tribunal:

or

or

In reviewing the patient’s condition, the Review Tribunal has complied with the provisions of Schedule 1 of the Mental Health (Compulsory Assessment and Treatment) Act 1992.

In the opinion of the Review Tribunal:

or

or

The convener of the Review Tribunal will send a copy of this certificate to each of the following: [tick those applicable]

Where the Review Tribunal is of the opinion—

the convener of the Review Tribunal will send a copy of this certificate to the Attorney-General for the purposes of section 31 of the Criminal Procedure (Mentally Impaired Persons) Act 2003.

To the Director of Area Mental Health Services, at [location]

The Review Tribunal has reviewed the condition of

Name of patient: [full name]

Patient’s date of birth:

of: [address]

who was acquitted on account of insanity and who is detained pursuant to an order made under section 24(2)(a) of the Criminal Procedure (Mentally Impaired Persons) Act 2003 dated [date of court order].

The Review Tribunal has also considered whether or not the patient’s condition still requires, either in the patient’s own interest or for the safety of the public, that the patient should be subject to the order of detention as a special patient.

The review of the patient’s condition was conducted by the Review Tribunal:

or

or

In reviewing the patient’s condition, the Review Tribunal has complied with the provisions of Schedule 1 of the Mental Health (Compulsory Assessment and Treatment) Act 1992.

In the opinion of the Review Tribunal:

or

The convener of the Review Tribunal will send a copy of this certificate to each of the following: [tick those applicable]

Where the Review Tribunal is of the opinion that the patient’s condition no longer requires, either in the patient’s own interest or for the safety of the public, that he or she should be subject to the order of detention as a special patient, the convener of the Review Tribunal will send a copy of this certificate to the Minister of Health for the purposes of section 33 of the Criminal Procedure (Mentally Impaired Persons) Act 2003.

To the Director of Area Mental Health Services, at [location]

The Review Tribunal has reviewed the condition of

Name of patient: [full name]

Patient’s date of birth:

of: [address]

who has been declared a restricted patient under section 55 of the Mental Health (Compulsory Assessment and Treatment) Act 1992 and is subject to a compulsory treatment order that commenced on [commencement date of compulsory order in force] and is in force until [expiry date of compulsory order in force].

The review of the patient’s condition was conducted by the Review Tribunal:

or

or

or

In reviewing the patient’s condition, the Review Tribunal has complied with the provisions of Schedule 1 of the Mental Health (Compulsory Assessment and Treatment) Act 1992.

In the opinion of the Review Tribunal:

or

or

The convener of the Review Tribunal will send a copy of this certificate to each of the following: [tick those applicable]

Where the Review Tribunal is of the opinion that the patient is not fit to be released from compulsory status but it is no longer necessary that the patient should be declared to be a restricted patient, the convener of the Review Tribunal will send a copy of this certificate to the Minister of Health for consideration under section 81(7) of the Mental Health (Compulsory Assessment and Treatment) Act 1992.

The District Court at [location]

Court reference number:

To every constable:

or

or

Particulars of the proposed patient (or patient) are as follows:

I authorise you to apprehend the proposed patient (or patient) and take that proposed patient (or patient) to:

The District Court at [location]

Court reference number:

To every constable:

I am satisfied, on an application made by [specify full name], a constable, that—

I authorise you to enter the premises specified above under section 41(2) of the Act.