【法规名称】
【法规编号】 44124 什么是编号？
【正 文】
第5页 CAP 136A MENTAL HEALTH REGULATIONS
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[接上页] 2. Only one extension of not more than 21 days from the expiry of the order under section 31(1B) of the Mental Health Ordinance is permitted. (68 of 1990 s. 24) FORM 5 MENTAL HEALTH ORDINANCE (Chapter 136) (Section 35A(1)) APPLICATION FOR ADMISSION INTO GUARDIANSHIP UNDER SECTION 33(1) To: The Director of Social Welfare. PART I I, [name and address of applicant] ........................................................................... ..................................................................................................., have reason to believe that- (a) [name of patient, and, if known, identity card number and address] ....................... ......................................................................................................................... ......................................................................................................................... is suffering from mental disorder of a nature or degree which warrants *his/her reception into guardianship under section 33(1) of the Mental Health Ordinance;AND (b) it is necessary that the patient should be so received (See Note 1)- (i) in the interests of the welfare of the patient; and (ii) for the protection of other persons.The reasons for my belief are- *The patient is aged ..................... OR [if the patient's age is not known] *I believe that the patient has attained the age of 18 years. I am *the [state relationship] ...................... of the patient/a registered medical practitioner/a public officer in the Social Welfare Department. I have consulted a relative of the patient, namely *his/her [state relationship and name and address of relative] .................................................................................................... ........................................................................................................................................ ........................................................................................................................................ about this application (See Note 2). OR I have been unable to locate any relative of the patient in Hong Kong (See Note 2). I apply for the patient to be received into the guardianship of [proposed guardian's name] .............................................................................................................................. ...................................................... in accordance with the provisions of section 33 of the Mental Health Ordinance (See Notes 3 & 4). This application is founded on the attached written opinions in the prescribed form of 2 registered medical practitioners. I last saw the patient on [date] .................................................................................. (See Note 5). Signed ............................................. Date ............................................... PART II (See Note 6) I, [proposed guardian's name, address and identity card number] ................................ ........................................................................................................................................ ............................................................. , am willing to act as the guardian of [name of patient] ...................................................................................................... in accordance with section 33 of the Mental Health Ordinance. Signed ...................................... Date ......................................... * Delete as appropriate. Notes: 1. Delete (i) or (ii) unless both apply. 2. Delete this paragraph if applicant is a relative. 3. A gurdianship application should be forwarded to the Director of Social Welfare within 14 days of the patient's last examination by a registered medical practitioner for the purposes of the application. 4. The person named as guardian in a guardianship application may be the Director of Social Welfare or any other person (including the applicant). 5. The applicant must have seen the patient within the previous 14 days. 6. Part II to be completed only if proposed guardian is not the Director of Social Welfare. (L.N. 184 of 1992) FORM 6 MENTAL HEALTH ORDINANCE (Chapter 136) (Section 33(3)) CERTIFICATE OF MEDICAL PRACTITIONERS IN SUPPORT OF APPLICATION FOR GUARDIANSHIP We, [names and addresses of two medical practitioners] ............................................ ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... registered medical practitioners, *one/both of whom *has/have been approved for the purpose of section 2(2) of the Mental Health Ordinance by the Hospital Authority within the meaning of the Hospital Authority Ordinance (Cap 113) (See Note 1), are of the opinion that [name of patient, and, if known, identity card number and address] ..................................... |
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