New South Wales Repealed Acts

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This legislation has been repealed.

MENTAL HEALTH ACT 1990 - SCHEDULE 3

SCHEDULE 3 – Medical certificate as to examination of prisoner

(Sections 97, 98)

Mental Health Act 1990

I (*Medical Practitioner/Psychiatrist)
(name in full--use block letters)
ofdo hereby certify
that on theday of19
at

(state name of prison where examination took place)

separately from any other medical practitioner, I personally examined

(name of prisoner in full)

and I am of the opinion that *he/she is *mentally ill/suffering from a mental condition for which treatment is available in a hospital.

I have formed this opinion on the following grounds:

(1) Facts indicating *mental illness/mental condition observed by myself.



(2) Other relevant information (if any) communicated to me by others (state name and address of each informant).




Made and signed thisday of 19

Signature

*Delete whichever does not apply.


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