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This is an unofficial version. If you need an official copy, use the bilingual (PDF) version.

Note:     The PDF version of the regulation does not include the prescribed form(s).
This HTML version includes links to the form(s).

As of March 4, 2024, this is the most current version available.

 

This is the first version. It has been in effect since October 29, 1999.

Prescribed forms

Note:     The PDF and HTML versions of this regulation do not include the forms prescribed by it.
The forms on this site are published only as individual files in PDF format,
but they are available in an alternate format on request.
Please contact Manitoba Government Inquiry at mgi@gov.mb.ca for more information.

Note:    Each of the following is a PDF image of the prescribed form.  Each form is designed to be completed as a set with the original and one or more copies to be provided to different parties.  The printed form sets are available on request from the Director of Psychiatric Services.

Schedule or Form Title
Form 1 Application for an Order for Involuntary Medical Examination bilingual
Form 2 Order for Involuntary Medical Examination bilingual
Form 3 Notice to Person in Custody bilingual
Form 4 Application by Physician for Involuntary Psychiatric Assessment bilingual
Form 5 Application by Attending Physician for Change of Patient's Status from Voluntary to Involuntary bilingual
Form 6 Involuntary Admission Certificate bilingual
Form 7 Renewal Certificate bilingual
Form 8 Certificate of Change of Status to Voluntary Patient bilingual
Form 9 Certificate of Incompetence to make Treatment Decisions bilingual
Form 10 Certificate of Incompetence to Manage Property bilingual
Form 11 Attending Physician's Statement that Patient in Psychiatric Facility has Regained Competence bilingual
Form 12 Notice of Cancellation of Certificate of Incompetence bilingual
Form 13 Request for Discharge by Voluntary Patient bilingual
Form 14 Order for Return of Patient Absent Without Permission bilingual
Form 15 Leave Certificate or Extension of Leave bilingual
Form 16 Revoke or Amend Leave Certificate bilingual
Form 17 Cancellation of Leave Certificate bilingual
Form 18 Patient's Application to Mental Health Review Board bilingual
Form 19 Facility's Application to Mental Health Review Board bilingual
Form 20 Authorization of Transfer bilingual
Form 21 Certificate of Incapacity bilingual
Form 22 Order of Committeeship bilingual
Form 23 Physician's Statement that Person is no Longer Incapable of Managing Property or of Personal Care bilingual
Form 24 Notice of Cancellation of Certificate of Incapacity and Order of Committeeship bilingual
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Mental Health Act Forms Regulation, M.R. 145/99

Règlement sur les formules applicables en matière de santé mentale, R.M. 145/99

The Mental Health Act, C.C.S.M. c. M110

Loi sur la santé mentale, c. M110 de la C.P.L.M.


Regulation 145/99
Registered October 15, 1999

bilingual version (HTML)

Règlement 145/99
Date d'enregistrement : le 15 octobre 1999

version bilingue (HTML)
Forms prescribed

1   Forms 1 to 24 are prescribed for use under The Mental Health Act.

Formules prescrites

1   Les formules 1 à 24 sont prescrites en vertu de la Loi sur la santé mentale.

Repeal

2   Manitoba Regulation 189/91 is repealed.

Abrogation

2   Le Règlement du Manitoba 189/91 est abrogé.

Coming into force

3   This regulation comes into force on proclamation of The Mental Health and Consequential Amendments Act, S.M. 1998, c. 36.

Entrée en vigueur

3   Le présent règlement entre en vigueur en même temps que la Loi sur la santé mentale et modifications corrélatives, c. 36 des L.M. 1998.

October 14, 1999Minister of Health/

14 octobre 1999Le ministre de la Santé,

David W. Chomiak

TABLE OF FORMS

Note: Each of the following is a PDF image of the prescribed form.  Each form is designed to be completed as a set with the original and one or more copies to be provided to different parties.  The printed form sets are available on request from the Director of Psychiatric Services.

TABLEAU DES FORMULES

Note :    Les formules réglementaires qui suivent sont accessibles sous forme d’images en format PDF. Il est prévu que chaque formule comprenne un ensemble de copies — y compris l’original — à remplir, chacune d’elles devant être remise à une partie différente.  Vous pouvez demander au directeur des Services psychiatriques de vous fournir les ensembles de formules imprimées.