A medical practitioner or nurse practitioner who has personally examined someone uses this order under section 8 of PEI's Mental Health Act to refer them for an involuntary psychiatric assessment. It is enough authority for a peace officer to take the person to a psychiatric facility, and for a psychiatrist to detain, restrain and observe them there for not more than 72 hours while assessing them.
The examining medical practitioner or nurse practitioner completes the whole order: their name and designation, when and where they examined the person, the opinion boxes and the supporting information, then the date, time and signature. No one else completes a part of it.
Download the current version from the source each time; forms change without notice.
Form 1 - Order for Involuntary Psychiatric Assessment
If your copy of the form is a fillable PDF, upload it 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.
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A medical practitioner or a nurse practitioner who personally examined the person. The order records the practitioner's name and designation, the date, time and health facility of the examination, the opinion they reached, and supporting information such as details of the examination and the observations behind the opinion.
The order lets a psychiatrist detain, restrain and observe the person in a psychiatric facility for not more than 72 hours and conduct the involuntary psychiatric assessment. Keeping the person as an involuntary patient after that needs a psychiatrist's Certificate of Involuntary Admission, Form 3, which lasts 30 days unless cancelled sooner.