Mental Health Act 2007 forms

Forms made under the Mental Health Act 2007 and the Mental Health Regulation 2019 include:

• prescribed forms (content specified in legislation)
• non-prescribed forms (developed by NSW Health to assist with the administration of the Act and approved by the Minister for Mental Health or their delegate).

On this page

1. Prescribed forms
1. Involuntary care
2. Electroconvulsive therapy forms
3. Other prescribed forms
2. Non-prescribed forms
1. Community treatment order forms
2. Consent to surgery and special medical treatment forms
3. Electroconvulsive therapy forms
4. Voluntary forms
5. Other carer forms
6. Other non-prescribed forms
3. Translated forms
1. Schedule 3 - Statement of Rights for Persons Detained in Mental Health Facility
2. Schedule 3A - Statement of Rights for Voluntary Patients
3. Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order

Prescribed forms

Involuntary care

• Schedule 1. Medical Certificate as to Examination or Observation of Person (NH600900)
• Schedule 3. Statement of Rights for Persons Detained in Mental Health Facility (NH606724A).
• Translations in 12 languages of Schedule 3. Statement of Rights for Persons Detained in Mental Health Facility
• Form 1. Clinical Report as to Mental State of a Detained Person (NH606706A)
• Form 2. Mental Health Inquiry - Mental Health Act 2007 (NH606707A)
• Form 3. Appeal by Patient Against Refusal to Discharge (NH606708A)
• Form 4. Appeal by Person Other than Patient Against Refusal to Discharge (NH606709A)
• Form 9. Weekly Report to the Mental Health Review Tribunal – Involuntary Referrals

Electroconvulsive therapy forms

• Form 5. Information and Consent - Electro Convulsive Therapy
• Form 6. ECT Register

Other prescribed forms

• Schedule 3A. Statement of Rights for Voluntary Patients (NH700099A).
• Translations in 12 languages of Schedule 3A. Statement of Rights for Voluntary Patients
• Form 7. Summons: Mental Health Review Tribunal
• Form 8. Oath of Assessor

Non-prescribed forms

Community treatment order forms

• Breach of Community Treatment Order (NH606704)
• Notice to Patient of Breach of Community Treatment Order (NH606716A)
• Notice to Mental Health Review Tribunal of Decision to Revoke or not Apply for a Further Community Treatment Order (NH700095A)
• Notice to Designated Carer or Principal Care Provider of Changes to or Decision to Revoke Community Treatment Order (NH700096A)
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order (NH606726A).
• Translations in 15 languages of Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order

Consent to surgery and special medical treatment forms

• Application for Consent to Surgical Operation (NH606701A)
• Consent to Surgical Operation for Involuntary Patients: A guide for Authorised Medical Officers (AMOs)
• Notice to Designated Carer of Proposed Surgical Operation (NH700102A)
• Decision of Designated Carer in Respect of Proposed Surgical Operation (NH606705A)
• Notice to Principal Care Provider of an Involuntary Patient of Application to Mental Health Review Tribunal for Consent for Proposed Surgical Operation (NH700093A)
• Notice to Designated Carer or Principal Care Provider of Proposed Special Medical Treatment (NH606719A)

Electroconvulsive therapy forms

• Notice to Designated Carer or Principal Care Provider of an Involuntary Patient of Application to Mental Health Review Tribunal for Consent to ECT (NH606717A)
• Notice to Designated Carer or Principal Care Provider of Other than Involuntary Patient of Application to Determine Validity of ECT Consent (NH606718A)
• Notice to Designated Carer/Principal Care Provider of Application for Consent to ECT – Patient under 16 years (NH700092A)

Voluntary forms

• Detention of Voluntary Patient for up to Two (2) Hours (NH700094A)
• Personal Application for Voluntary Admission to a Mental Health Facility (NH606720A)
• Application by Guardian for Voluntary Admission of Person to Hospital (NH606700A)
• Notice to Guardian of Discharge of Voluntary Patient (NH606715A)

Other carer forms

• Nomination of Designated Carer(s) (NH606713A)
• Identification of Principal Care Provider (NH700091A)
• Notice to designated carer and principal care provider of matter before the Mental Health Review Tribunal (NH700579A)
• Application from Designated Carer or Principal Care Provider for Discharge of Patient (NH606702A)

Other non-prescribed forms

• Notice to Detained Person of Mental Health Inquiry (NH606714A)
• Transfer of Involuntary Patient Between Mental Health Facilities (NH606725A)
• Application for Discharge from Mental Health Facility (NH700098A)
• Notice to Medical Superintendent of a Health Facility of Request to See an Official Visitor (NH700097A)
• Application to Medical Superintendent for Review of Decision of Authorised Medical Officer (NH606703A)
• NSW Health / NSW Police MOU Absconded Patient (NH700544)
• Request by Member of the NSW Police Force for Assessment of a Detained Person (NH606722A)
• Request by Ambulance Officer for Assessment of Mentally Ill or Mentally Disturbed Person (NH606721A)

Translated forms

Schedule 3 - Statement of Rights for Persons Detained in Mental Health Facility

• Statement of Rights for Persons Detained in Mental Health Facility - Arabic
• Statement of Rights for Persons Detained in Mental Health Facility - Chinese Simplified
• Statement of Rights for Persons Detained in Mental Health Facility - Chinese Traditional
• Statement of Rights for Persons Detained in Mental Health Facility - Croatian
• Statement of Rights for Persons Detained in Mental Health Facility - Greek
• Statement of Rights for Persons Detained in Mental Health Facility - Hindi
• Statement of Rights for Persons Detained in Mental Health Facility - Italian
• Statement of Rights for Persons Detained in Mental Health Facility - Korean
• Statement of Rights for Persons Detained in Mental Health Facility - Nepali
• Statement of Rights for Persons Detained in Mental Health Facility - Spanish
• Statement of Rights for Persons Detained in Mental Health Facility - Tagalog
• Statement of Rights for Persons Detained in Mental Health Facility - Turkish
• Statement of Rights for Persons Detained in Mental Health Facility - Vietnamese

Schedule 3A - Statement of Rights for Voluntary Patients

• Statement of Rights for Voluntary Patients - Arabic
• Statement of Rights for Voluntary Patients - Chinese Simplified
• Statement of Rights for Voluntary Patients - Chinese Traditional
• Statement of Rights for Voluntary Patients - Croatian
• Statement of Right for Voluntary Patients - Greek
• Statement of Rights for Voluntary Patients - Hindi
• Statement of Rights for Voluntary Patients - Italian
• Statement of Rights for Voluntary Patients - Korean
• Statement of Rights for Voluntary Patients - Spanish
• Statement of Rights for Voluntary Patients - Tagalog
• Statement of Rights for Voluntary Patients - Turkish
• Statement of Rights for Voluntary Patients - Vietnamese

Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order

• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order - Arabic
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Bengali
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Chinese Simplified
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Chinese Traditional
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Greek
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Hindi
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Indonesian
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Italian
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Korean
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Nepali
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Persian
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Punjabi
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Spanish
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Tagalog
• Your Rights After a Mental Health Inquiry or Following a Tribunal Hearing After Breaching a Community Treatment Order – Vietnamese