Before a declaration of involuntary admission or a previous renewal expires, the attending psychiatrist examines the patient and uses this declaration to renew involuntary status in a Nova Scotia psychiatric facility. It identifies the original Form 4 and its expiry, numbers the renewal, restates all the section 17 criteria and confirms the written treatment plan has been prepared and shared.
The attending psychiatrist on the staff of the psychiatric facility completes and signs the whole declaration. A new Form 5 is completed for each renewal.
Download the current version from the source each time; forms change without notice.
Form 5 - Declaration of Renewal of Involuntary Admission
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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Under section 22 of the Act, a first declaration of renewal allows up to 30 additional days, a second up to 60 additional days, and a third or later renewal up to 90 additional days each. Each renewal needs a fresh examination by the attending psychiatrist and a new Form 5.
Section 37 deems an application to the Review Board 60 days after the initial declaration, then at 180 days, one year, one year and 180 days, and two years, and yearly after that. The form says the facility must track status and tell IPTA administration when hearings are due.