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Mental Health Act Forms

Mental Health Act

Using These Forms

See the Mental Health Act: Pathways for Examinations at a Designated Facility table for an explanation of the different processes, pathways, and examination considerations for several of the MHA forms below.

Effective July 13, 2023 any forms below marked with an * can be completed in Connect Care as a digital eForm. Any Connect Care user with the authority to complete the eForm version is encouraged to do so.

If you are not a Connect Care user, it is recommended that forms are accessed from this page as needed to avoid the risks associated with the use of outdated forms.

Government of Â鶹ӳ»­ Forms

These MHA forms can be:

• completed on the computer and then printed and signed or
• printed, then completed by hand and signed.

For best results when printing forms, use the print function at the bottom of the form.

Note: Forms may not be altered in any way.

Scheduled Maintenance

Forms are unavailable between 2:00 a.m. & 2:15 a.m. nightly for server maintenance. During this time, you will not be able to access forms.

• - Admission Certificate*
  • Completeness Review - Mental Health Act Admission Certificate (Form 1)
• - Renewal Certificate*
  • Completeness Review - Mental Health Act Renewal Certificate (Form 2)
  All Form 1s and Form 2s that ARE NOT issued as a Connect Care eForm should be reviewed for completeness using the completeness review form specific to either Form 1 or Form 2 at a Designated Facility. Please ensure your facility/zone have adopted this form for use and consult with your supervisor/manager for reporting processes.

• - Cancellation of Admission Certificate or Renewal Certificate*
• - Order to Return a Formal Patient to a Facility*
• - Certificate of Transfer into Â鶹ӳ»­
• - Transfer of Formal Patient to a Jurisdiction Outside Â鶹ӳ»­
• - Memorandum of Transfer to Another Facility*
• - Information
• - Warrant
• - Extension of Warrant
• - Statement of Peace Officer on Apprehension
• - Certificate of Incompetence to Make Treatment Decisions
• - Application for Review Panel Hearing
  • Note: A Form 12 must be submitted to the Review Panel Chair for the
• - Notice of Hearing Before Review Panel
• - Decision of Review Panel Regarding Mental Incompetence to Make Treatment Decisions
• - Decision of Review Panel Regarding Treatment
• - Decision of Review Panel Regarding Transfer Back to a Correctional Facility
• - Decision of Review Panel Regarding Admission Certificates, Renewal Certificates or Community Treatment Orders
• - Decision of Review Panel Regarding Order for the Board to Issue a Community Treatment Order
• - Decision of Review Panel Regarding Renewal Certificates & Community Treatment Orders (Deemed Application)
• - Issuance of Community Treatment Order
• - Renewal of Community Treatment Order
• - Community Treatment Orders Amendments to Community Treatment Order
• - Community Treatment Order Cancellation or Expiry
• - Community Treatment Order Apprehension Order
• - Community Treatment Order Examination on Apprehension
• - Community Treatment Order Noncompliance Report
  Update: The Community Treatment Order Written Statement form is now within Form 19, 20, & 21 and the Community Treatment Order Noncompliance Report is now Form 25