Mental Health law: forms

Forms recommended for use under the Mental Health (Care and Treatment) (Scotland) Act 2003.


Advance statements: form

Information about advance statement - ADV1 v7.0 27 Jun 2017

Assessment orders and treatment orders: forms

Medical report in respect of person (not in prison custody) awaiting trial or sentence AO 04 Sep 2012

Medical report in respect of person (not in prison custody) awaiting trial or sentence TO 04 Sep 2012

Medical Report Application for an Assessment Order in respect of person in custody awaiting trial or sentence - MHT Annex A 04 Sep 2012

Medical Report Application for a Treatment Order in respect of person in custody awaiting trial or sentence - MHT Annex B 04 Sep 2012

Assessment Order Review Form 12 Nov 2019

Community compulsory treatment order: warrant

Warrant for Community Compulsory Treatment Order 04 Sep 2012

Compulsion orders: forms

Determination to extend Compulsion order - CO1 Part B v7.0 27 Jun 2017

Determination to extend a CTO or CO - CTO3a v7.0 26 Jun 2017

Review of Section 86 or Section 152 Determination - CTO3b v7.0 26 Jun 2017

Application to extend and vary CTO or CO CTO4A v7.0 26 Jun 2017

Extend and vary CTO or CO - MHTS - CTO4B v7.0 26 Jun 2017

Application to Vary a CTO or CO - CTO5 Part A - v7.0 26 Jun 2017

Vary a CTO or CO - MHTS - CTO5 Part B - v7.0 26 Jun 2017

Section 193 Order Application or Reference - CORO2 Part A v7.0.1 13 Feb 2019

Section 193 Order Determination - CORO2 Part B v7.0.1 13 Feb 2019

Interim Extension and or Variation of a CTO or CO CTO12 v7.0 27 Jun 2017

Determination of Appeal to Revoke and or Vary - REV4 v7.0 26 Jun 2017

Section 98 Section162 Reference CTO11 Part A v7.0 27 Jun 2017

Section 98 Section162 Reference CTO11 Part B v7.0 27 Jun 2017

Revocation - Termination CTO -Interim CTO - CO - REV 2 v7.0 26 Jun 2017

Review of Compulsion Order and Restriction Order - CORO1 - v7.0 kb 27 Jun 2017

Review and Extension of Interim Compulsion Order 04 Sep 2012

Application to extend Compulsion order - CO1 Part A v7.0 12 Jul 2017

Examination of Patient by an Independent AMP - IH1 v7.0 07 Mar 2018

Mental Health Report to Accompany a CTO Application - CTO 2 v7.0 26 Mar 2018

MHO - Further Information Where CTO or CO is Extended - CTO3c v7.0 26 Mar 2018

Compulsory treatment orders: forms

CTO & ICTO - Commencement Order, Admission CTO1av6.0 form 26 Jun 2017

Determination to extend a CTO or CO - CTO3a v7.0 26 Jun 2017

Review of Section 86 or Section 152 Determination CTO3b v7.0 26 Jun 2017

Application to extend and vary CTO or CO CTO4A v7.0 26 Jun 2017

Extend and vary CTO or CO - MHTS - CTO4B v7.0 26 Jun 2017

Application to Vary a CTO or CO - CTO5 Part A - v7.0 26 Jun 2017

Vary a CTO or CO - MHTS - CTO5 Part B - v7.0 26 Jun 2017

Interim Compulsory Treatment Order CTO6 v6.0 27 Jun 2017

Section 112 Detention CTO7 v7.0 PDF, 97.7 kb: 27 Jun 2017

Section 113 Certificate CTO8 v7.0 27 Jun 2017

Section 114, 115 certificate CTO9 v7.0 27 Jun 2017

Non-provision of Recorded Matter - CTO10 Part A v7.0 27 Jun 2017

Non-provision of Recorded Matter - CTO10 Part B v7.0 27 Jun 2017

Section 98 Section162 Reference CTO11 Part A v7.0 27 Jun 2017

Section 98 Section162 Reference CTO11 Part B v7.0 27 Jun 2017

Interim Extension and or Variation of a CTO or CO CTO12 v7.0 27 Jun 2017

Compulsory Treatment Order Pack v6.0 CTO1 24 Jul 2017

Examination of Patient by an Independent AMP - IH1 v7.0 07 Mar 2018

Mental Health Report to Accompany a CTO Application - CTO 2 v7.0 26 Mar 2018

MHO - Further Information Where CTO or CO is Extended - CTO3c v7.0 26 Mar 2018

Criminal Procedure (Scotland) Act 1995: forms

Admission of Part 8 or Part 11 Patient - ADM1 - v7.0 26 Jun 2017

Revocation or Termination - REV5 - v7.0 26 Jun 2017

Detention in conditions of excessive security: forms

Detention In Conditions Of Excessive Security - EXS1 v7.0 27 Jun 2017

Order under sections 265 or 269 of the Act - EXS2 v7.0 27 Jun 2017

Application for Recall of Orders made under Sections 264, 265, 268 or 269 - EXS3 v7.0 27 Jun 2017

Compliance with Order made under Section 264, 265, 268 or 269 - EXS4 v7.0 27 Jun 2017

Emergency and short term detention: forms

Emergency detention certificate DET1 v7.0 12 Jul 2017

Short term detention certificate DET2v7.0 12 Jul 2017

Short term detention extension certificate DET4 v7.0 12 Jul 2017

Hospital direction: forms

Review Of Hospital Direction Or Transfer For Treatment Direction - HD1 v7.0 27 Jun 2017

Reference by Scottish Ministers, Section 215 Order - HD2 Part A v7.0 27 Jun 2017

Reference by Scottish Ministers, Section 215 Order Determination - HD2 Part B v7.0 27 Jun 2017

Revocation by Scottish Ministers - HD3 v7.0 27 Jun 2017

Mental Health Officers report for the court: forms

Mental Health Officer's report for the court 04 Sep 2012

MHO warrant (schedule 1): forms

Application for warrant to enter premises under Section 35 subsection MH01 4 Sep 2012

Warrant under Section 35 subsection MH01a 04 Sep 2012

Application for warrant to detain person under Section 35 subsection (4) for the purpose of enabling a medical examination MH02 04 Sep 2012

Warrant under Section 35 subsection (4) MH02a 04 Sep 2012

Application for warrant for access to medical records under Section 35 subsection (1) MH03 04 Sep 2012

Warrant under Section 35 subsection (7) MH03a 04 Sep 2012

Application for warrant to enter premises under Section 292 subsection (1) MH04 04 Sep 2012

Warrant under Section 292 subsection (1) MH04a 04 Sep 2012

Application for removal order under Section 293 subsection (1) MH05 04 Sep 2012

Intimation of application for removal order under Section 293 subsection (1) MH05a 04 Sep 2012

Removal order granted by sheriff under Section 293 subsection (1) MH05b 04 Sep 2012

Application to Justice of the Peace for removal order under Section 294 MH06 04 Sep 2012

Removal order granted by Justice of the Peace under Section 294 MH06a 04 Sep 2012

Application for recall or variation of removal order under Section 295 MH07 12 Nov 2019

Intimation of application for recall or variation of removal order under Section 295 MH07a 04 Sep 2012

Order recalling or varying removal order under Section 295 MH07b 04 Sep 2012

Named persons: templates

Nomination of named person - suggested template 24 Jul 2017

Revocation of nomination of named person - suggested template 24 Jul 2017

Declaration re section 251 (default) named person - suggested template 24 Jul 2017

Declaration re nearest relative or carer acting as listed initation - suggested template 24 Jul 2017

Agreement to act as the named person - suggested template June 2021

Nurse's power to detain and removal to place of safety: forms

Police Report - Removal To Place Of Safety - POS1 - v7.0 26 Jun 2017

Nurse's Power To Detain Pending Medical Examination - NUR1 - v7.0 12 Jul 2017

Revocation: forms

Revocation, Termination, Emergency Detention, Short-Term Detention, Extension Certificate - REV 1 v7.0 26 Jun 2017

Revocation - Termination CTO -Interim CTO - CO - REV 2 v7.0 26 Jun 2017

Revocation Section 114 - Section 115 Certificate - REV3 - v7.0 26 Jun 2017

Determination of Appeal to Revoke and or Vary - REV4 v7.0 26 Jun 2017

Social circumstances report: forms

Social Circumstances Report - SCR1 v7.0 26 Jun 2017

Suspension of detention: forms

Suspension Certificate - CTO or CO detention - SUS1a v7.1 27 February 2019

Suspension Certificate – Measures other than detention SUS1b v7.0 26 Jun 2017

Revocation of Suspension Certificate SUS1c v7.0 26 Jun 2017

Suspension of Detention Certificate Restricted patients and patients with restricted status - SUS3a v7.0 26 Jun 2017

Revocation of Suspension Certificate by RMO SUS3b v7.0 26 Jun 2017

Revocation of Suspension Certificate by Scottish Ministers SUS3c v7.0 26 Jun 2017

Transfer for treatment direction: forms

Draft Guidance on Transfer for Treatment Directions and Obtaining Mental Health Officer Agreement- 19 February 2020

Draft Mental Health Officer Report: Transfer For Treatment Direction In Respect Of Person Serving A Sentence Of Imprisonment- 19 February 2020

Medical Report: Transfer For Treatment Direction In Respect Of Person Serving A Sentence Of Imprisonment- 19 February 2020

Treatment: forms

Safeguards for Treatment by certain Surgical Operations - T1 v7.0 26 April 2019

Certificate of Consent to Treatment - s237 - T2a - v7.0 26 April 2019

Certificate of Consent to Treatment - s240 - T2b - v7.0 26 April 2019

Certificate of Consent to Treatment - Artificial Nutrition - T2c - v 7.0 26 April 2019

Certificate of the Designated Medical Practitioner - s237 - T3a v7.0 26 April 2019

Certificate of the Designated Medical Practitioner - s240 - T3b v7.0 26 April 2019

Section 244 Treatment Certificate - T5 26 Jun 2017

Record of Notification following Urgent Medical Treatment (T4) 03 Jul 2017

Transfer: forms

Application to Transfer a Patient to a Hospital outside Scotland - TX1a - v7.0 26 Jun 2017

Request for the Transfer of a Patient into Scotland - TX1b - v7.0 26 Jun 2017

Transfer from Specified Unit or to other Hospital within Scotland - TX2 - v7.0 26 Jun 2017

Appeal Against Transfer - TX3 v7.0 26 Jun 2017

Notification of Appeal Against Transfer to a State Hospital - TX3a - v7.0 26 Jun 2017

Appeal Against a Cross-Border Transfer - TX4 v7.0 26 Jun 2017

Review of Patient following a cross-border transfer into Scotland - TX5 v7.0 26 Jun 2017

Contact

Email: ceu@gov.scot

Post:

Mental Health Law Team
Mental Health and Protection of Rights Division
3ER St Andrew's House
Regent Road
Edinburgh
EH1 3DG

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