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Record of detention in hospital
Form H3
Mental Health Act 1983
Sections 2,3 and 4
Regulation 4(4) and (5)
(To be attached to the application for admission)
PARTI
On (date) at (time) I received, on
behalf-of the hospital managers, the second medical recommendation in support of the
application for the admission of the above named patient.
Signed
on behalf of the hospital managers
PRINT NAME______________________________
Date
NOTE: IF THE PATIENT IS BEING DETAINED AS A RESULT OF A TRANSFER FROM
GUARDIANSHIP, THE PATIENT'S ADMISSION SHOULD BE RECORDED IN PART 2
OF THE FORM G8 WHICH AUTHORISED THE TRANSFER.
Cat. No. MHR14 Printed by Barnet Enfield 8cHaringey NHSf MH Unit, HA8 OAD under licence From Shaw 8cSons Ltd LFX 31242
(0)322 621100). Crown Copyright. Reproduced by permission of the Controller of HMSO.
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