A New Brunswick physician uses this certificate under section 7.1 of the Mental Health Act after examining someone who may be suffering from a serious mental illness requiring hospitalization for their own safety or the safety of others. Once issued, it lets a peace officer take the person to a psychiatric facility within seven days, where the administrator may detain them for up to 72 hours for observation, examination and assessment.
Any physician practising in New Brunswick who personally examined the person completes and signs the whole certificate, including the date and hour of signing. No one else completes a part; a psychiatrist at the facility then examines the person as soon as reasonably possible.
Download the current version from the source each time; forms change without notice.
Upload the fillable PDF once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
Under section 7.1 of the Mental Health Act, the certificate authorizes a peace officer or other person to take the named person into custody and to a psychiatric facility for seven days, including the day it is issued. At the facility, the administrator may detain the person without consent for up to 72 hours for observation, examination and assessment.
Any physician practising in New Brunswick who has personally examined the person and made careful inquiry into the facts can sign it; it does not have to be a psychiatrist. The physician must sign and issue it within seven days after the examination, or the certificate has no effect.
Yes. The Department of Health posts a separate French version, Formule 1, Certificat d'examen, alongside the English fillable PDF. Both versions open with a box to record whether the patient or client chose to have the form completed in English or French.