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Medical Recommendation for Form A4
Admission for Assessment Mental Health Act 1983
Section 2 Regulation
4(l)(b)(ii)
(PRINT full name and I
address of medical
practitioner)
(PRINT full name and
address of patient)
(date)
Delete if not applicable
(Delete the indents not
applicable)
Signed
Cat. No. MHR4 Printed by Bamet Enfield & Haringey NHS, MH Unit, HA8 OAD under licence from Shaw & Sons Ltd LFX31159
(01322 621100). Crown Copyright. Reproduced by permission of the Controller of HMSO.
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