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Annexure NSW Victoria Civil Interstate Apprehension Order REQUEST TO APPREHEND Date of birth GIVEN NAMES OF PATIENT FAMILY NAME BLOCK LETTERS OF PATIENT STATUS OF PATIENT Patient subject to the

48 U Liable to apprehension under s43 Patient is absent without leave or otherwise liable lobe a Irehended under the Mental Health Act 2007 NS or the Mental Health Act 1986 Vic see note 1 RETURN TO The patient is lobe returned to 1 1 11

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Annexure NSW Victoria Civil Interstate Apprehension Order REQUEST TO APPREHEND Date of birth GIVEN NAMES OF PATIENT FAMILY NAME BLOCK LETTERS OF PATIENT STATUS OF PATIENT Patient subject to the






Presentation on theme: "Annexure NSW Victoria Civil Interstate Apprehension Order REQUEST TO APPREHEND Date of birth GIVEN NAMES OF PATIENT FAMILY NAME BLOCK LETTERS OF PATIENT STATUS OF PATIENT Patient subject to the"β€” Presentation transcript:

22 NSW / Victoria Civil Interstate Apprehension Order REQUEST TO APPREHEND: Date of birth* STATUS OF PATIENT: Mental Health Act 2007 (NSW) Mental Health Act 1986 (Vic) Liable to apprehension under s.48 U Liable to apprehension under s.43 Mental Health Act 2007 NS or the Mental Health Act 1986 Vic see note 1 . RETURN TO: The patient is lobe returned to • ...... 1 ....... • 11 . • •. • , • • • name of *declared mental health facility (NSW) / *approved mental health service (Vic) PERSON MAKING REQUEST TO APPREHEND: Signed * Male/Female DESCRIPTION OF THE PATIENT: Include any distinguishing characteristics . Risk Summa (include date of last assessment 24 Hour Contact Person at facilitylservice requesting patient's apprehension: Name 23 NOTES 1. Mental Health Act 1986 (Vic) and Chapter 8 of the Mental Health Act (NSW). Health Act 1986 (Vic) and the Mental Health Regulations 2008 (Vic) may be accessed at Mental Health Act 2007 (NSW) and the Mental Health Regulations 2007 (NSW) may be accessed at 2. The following persons are authorised to apprehend and return a patient absent without leave to an approved mental health Mental Health Act 1986 (Vic) or absent without leave or required to return to a declared Mental Health Act 2007 (NSW) : Mental Health 2008 (Vic) (including a member of the Victorian police force and a Victorian ambulance officer); 24 Ann exure 4 The parties agree that the following persons are authorised to take a person to a Facility for 25 Annexure 5 The parties agree that the persons who may transfer a person in accordance with Part 7 are as 26 Annexure 6 The parties agree the following persons may apprehend an Interstate Person subject to Civil