Publication - Form
Mental Health law: forms
Published:
28 Aug 2019
Forms recommended for use under the Mental Health (Care and Treatment) (Scotland) Act 2003.
- Published:
- 28 Aug 2019
Mental Health law: forms
Advance statements: form
Assessment orders and treatment orders: forms
Community compulsory treatment order: warrant
Compulsion orders: forms
Determination to extend Compulsion order - CO1 Part B v7.0 27 Jun 2017
- File type
- 4 page PDF
- 84.8 kB
Determination to extend a CTO or CO - CTO3a v7.0 26 Jun 2017
- File type
- 11 page PDF
- 228.9 kB
Review of Section 86 or Section 152 Determination - CTO3b v7.0 26 Jun 2017
- File type
- 7 page PDF
- 184.1 kB
Application to extend and vary CTO or CO CTO4A v7.0 26 Jun 2017
- File type
- 13 page PDF
- 164.2 kB
Application to Vary a CTO or CO - CTO5 Part A - v7.0 26 Jun 2017
- File type
- 10 page PDF
- 148.4 kB
Section 193 Order Application or Reference - CORO2 Part A v7.0.1 13 Feb 2019
- File type
- 9 page PDF
- 289.5 kB
Section 193 Order Determination - CORO2 Part B v7.0.1 13 Feb 2019
- File type
- 6 page PDF
- 207.6 kB
Interim Extension and or Variation of a CTO or CO CTO12 v7.0 27 Jun 2017
- File type
- 7 page PDF
- 205.7 kB
Determination of Appeal to Revoke and or Vary - REV4 v7.0 26 Jun 2017
- File type
- 8 page PDF
- 205.3 kB
Section 98 Section162 Reference CTO11 Part B v7.0 27 Jun 2017
- File type
- 6 page PDF
- 121.2 kB
Revocation - Termination CTO -Interim CTO - CO - REV 2 v7.0 26 Jun 2017
- File type
- 4 page PDF
- 119.3 kB
Review of Compulsion Order and Restriction Order - CORO1 - v7.0 kb 27 Jun 2017
- File type
- 5 page PDF
- 203.7 kB
Application to extend Compulsion order - CO1 Part A v7.0 12 Jul 2017
- File type
- 10 page PDF
- 150.7 kB
Examination of Patient by an Independent AMP - IH1 v7.0 07 Mar 2018
- File type
- 3 page PDF
- 122.8 kB
Mental Health Report to Accompany a CTO Application - CTO 2 v7.0 26 Mar 2018
- File type
- 6 page PDF
- 146.3 kB
MHO - Further Information Where CTO or CO is Extended - CTO3c v7.0 26 Mar 2018
- File type
- 6 page PDF
- 206.7 kB
Compulsory treatment orders: forms
CTO & ICTO - Commencement Order, Admission CTO1av6.0 form 26 Jun 2017
- File type
- 2 page PDF
- 126.8 kB
Determination to extend a CTO or CO - CTO3a v7.0 26 Jun 2017
- File type
- 11 page PDF
- 228.9 kB
Review of Section 86 or Section 152 Determination CTO3b v7.0 26 Jun 2017
- File type
- 7 page PDF
- 184.1 kB
Application to extend and vary CTO or CO CTO4A v7.0 26 Jun 2017
- File type
- 13 page PDF
- 164.2 kB
Application to Vary a CTO or CO - CTO5 Part A - v7.0 26 Jun 2017
- File type
- 10 page PDF
- 148.4 kB
Non-provision of Recorded Matter - CTO10 Part A v7.0 27 Jun 2017
- File type
- 6 page PDF
- 102.9 kB
Non-provision of Recorded Matter - CTO10 Part B v7.0 27 Jun 2017
- File type
- 5 page PDF
- 113.1 kB
Section 98 Section162 Reference CTO11 Part B v7.0 27 Jun 2017
- File type
- 6 page PDF
- 121.2 kB
Interim Extension and or Variation of a CTO or CO CTO12 v7.0 27 Jun 2017
- File type
- 7 page PDF
- 205.7 kB
Examination of Patient by an Independent AMP - IH1 v7.0 07 Mar 2018
- File type
- 3 page PDF
- 122.8 kB
Mental Health Report to Accompany a CTO Application - CTO 2 v7.0 26 Mar 2018
- File type
- 6 page PDF
- 146.3 kB
MHO - Further Information Where CTO or CO is Extended - CTO3c v7.0 26 Mar 2018
- File type
- 6 page PDF
- 206.7 kB
Criminal Procedure (Scotland) Act 1995: forms
Admission of Part 8 or Part 11 Patient - ADM1 - v7.0 26 Jun 2017
- File type
- 2 page PDF
- 110.3 kB
Detention in conditions of excessive security: forms
Detention In Conditions Of Excessive Security - EXS1 v7.0 27 Jun 2017
- File type
- 4 page PDF
- 144.1 kB
Order under sections 265 or 269 of the Act - EXS2 v7.0 27 Jun 2017
- File type
- 3 page PDF
- 121.6 kB
Application for Recall of Orders made under Sections 264, 265, 268 or 269 - EXS3 v7.0 27 Jun 2017
- File type
- 5 page PDF
- 151.1 kB
Compliance with Order made under Section 264, 265, 268 or 269 - EXS4 v7.0 27 Jun 2017
- File type
- 2 page PDF
- 84.5 kB
Emergency and short term detention: forms
Short term detention extension certificate DET4 v7.0 12 Jul 2017
- File type
- 4 page PDF
- 132.7 kB
Hospital direction: forms
Review Of Hospital Direction Or Transfer For Treatment Direction - HD1 v7.0 27 Jun 2017
- File type
- 6 page PDF
- 164.6 kB
Reference by Scottish Ministers, Section 215 Order - HD2 Part A v7.0 27 Jun 2017
- File type
- 5 page PDF
- 88.4 kB
Reference by Scottish Ministers, Section 215 Order Determination - HD2 Part B v7.0 27 Jun 2017
- File type
- 4 page PDF
- 98.9 kB
Mental Health Officers report for the court: forms
MHO warrant (schedule 1): forms
Application for warrant to enter premises under Section 35 subsection MH01 4 Sep 2012
- File type
- DOC
- 22.0 kB
Application for removal order under Section 293 subsection (1) MH05 04 Sep 2012
- File type
- DOC
- 34.8 kB
Removal order granted by sheriff under Section 293 subsection (1) MH05b 04 Sep 2012
- File type
- DOC
- 29.7 kB
Application to Justice of the Peace for removal order under Section 294 MH06 04 Sep 2012
- File type
- DOC
- 21.5 kB
Removal order granted by Justice of the Peace under Section 294 MH06a 04 Sep 2012
- File type
- DOC
- 22.5 kB
Application for recall or variation of removal order under Section 295 MH07 12 Nov 2019
- File type
- DOC
- 36.9 kB
Order recalling or varying removal order under Section 295 MH07b 04 Sep 2012
- File type
- DOC
- 30.2 kB
Named persons: templates
Revocation of nomination of named person - suggested template 24 Jul 2017
- File type
- DOC
- 30.7 kB
Declaration re section 251 (default) named person - suggested template 24 Jul 2017
- File type
- DOC
- 31.7 kB
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
- File type
- 6 page PDF
- 184.8 kB
Nurse's Power To Detain Pending Medical Examination - NUR1 - v7.0 12 Jul 2017
- File type
- 4 page PDF
- 146.1 kB
Revocation: forms
Revocation, Termination, Emergency Detention, Short-Term Detention, Extension Certificate - REV 1 v7.0 26 Jun 2017
- File type
- 4 page PDF
- 136.2 kB
Revocation - Termination CTO -Interim CTO - CO - REV 2 v7.0 26 Jun 2017
- File type
- 4 page PDF
- 119.3 kB
Revocation Section 114 - Section 115 Certificate - REV3 - v7.0 26 Jun 2017
- File type
- 2 page PDF
- 87.0 kB
Determination of Appeal to Revoke and or Vary - REV4 v7.0 26 Jun 2017
- File type
- 8 page PDF
- 205.3 kB
Social circumstances report: forms
Suspension of detention: forms
Suspension Certificate - CTO or CO detention - SUS1a v7.1 27 February 2019
- File type
- 4 page PDF
- 135.2 kB
Suspension Certificate – Measures other than detention SUS1b v7.0 26 Jun 2017
- File type
- 3 page PDF
- 122.5 kB
Suspension of Detention Certificate Restricted patients and patients with restricted status - SUS3a v7.0 26 Jun 2017
- File type
- 3 page PDF
- 119.5 kB
Revocation of Suspension Certificate by RMO SUS3b v7.0 26 Jun 2017
- File type
- 2 page PDF
- 87.0 kB
Revocation of Suspension Certificate by Scottish Ministers SUS3c v7.0 26 Jun 2017
- File type
- 2 page PDF
- 84.3 kB
Transfer for treatment direction: forms
Draft Guidance on Transfer for Treatment Directions and Obtaining Mental Health Officer Agreement- 19 February 2020
- File type
- 13 page PDF
- 640.0 kB
Treatment: forms
Safeguards for Treatment by certain Surgical Operations - T1 v7.0 26 April 2019
- File type
- 6 page PDF
- 123.8 kB
Certificate of Consent to Treatment - s237 - T2a - v7.0 26 April 2019
- File type
- 3 page PDF
- 114.1 kB
Certificate of Consent to Treatment - s240 - T2b - v7.0 26 April 2019
- File type
- 4 page PDF
- 123.5 kB
Certificate of Consent to Treatment - Artificial Nutrition - T2c - v 7.0 26 April 2019
- File type
- 3 page PDF
- 105.4 kB
Certificate of the Designated Medical Practitioner - s237 - T3a v7.0 26 April 2019
- File type
- 4 page PDF
- 130.2 kB
Certificate of the Designated Medical Practitioner - s240 - T3b v7.0 26 April 2019
- File type
- 4 page PDF
- 135.5 kB
Record of Notification following Urgent Medical Treatment (T4) 03 Jul 2017
- File type
- 2 page PDF
- 128.1 kB
Transfer: forms
Application to Transfer a Patient to a Hospital outside Scotland - TX1a - v7.0 26 Jun 2017
- File type
- 12 page PDF
- 227.2 kB
Request for the Transfer of a Patient into Scotland - TX1b - v7.0 26 Jun 2017
- File type
- 3 page PDF
- 103.0 kB
Transfer from Specified Unit or to other Hospital within Scotland - TX2 - v7.0 26 Jun 2017
- File type
- 3 page PDF
- 114.4 kB
Notification of Appeal Against Transfer to a State Hospital - TX3a - v7.0 26 Jun 2017
- File type
- 1 page PDF
- 69.0 kB
Appeal Against a Cross-Border Transfer - TX4 v7.0 26 Jun 2017
- File type
- 4 page PDF
- 135.7 kB
Review of Patient following a cross-border transfer into Scotland - TX5 v7.0 26 Jun 2017
- File type
- 7 page PDF
- 177.9 kB
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