Two physicians use this Mental Health Act certificate to admit a person to hospital in Yukon as an involuntary patient after an involuntary psychiatric assessment. Each physician examines the patient and completes a separate copy within 24 hours of the patient's arrival at hospital, recording findings, a diagnosis and the grounds for admission. The form states the certificate is valid for 21 days only.
Each of the two examining physicians completes and signs their own copy of the whole form, with a witness signature. The patient and family receive copies but complete nothing on this certificate.
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Form 7 - Certificate of Involuntary Admission
Formulaire 7 - Certificat d'admission non volontaire
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The form states the certificate is valid for 21 days only, matching section 13 of the Mental Health Act, which allows detention, observation and examination for up to 21 days. Continuing involuntary status past that point requires a Certificate of Renewal, Form 11, completed by the attending physician and one other physician.
Section 13 of the Act allows admission as an involuntary patient only when the physicians who examined and assessed the person each complete and file a certificate. The form requires two separate copies, each with its own examination findings, information sources and grounds, completed within 24 hours of the patient's arrival.
The patient receives both copies of the certificate together with a blank Form 8, Waiver of Right to an Automatic Hearing, and a blank Form 9, Application to the Capability and Consent Board. The nearest relative, proxy or guardian also receives both copies and a blank Form 9.