Get Mental Capacity Assessment Form - Devon Gov

The Mental Capacity Assessment Form is a crucial document used to determine a person's capacity to make decisions. This guide will provide you with step-by-step instructions to effectively complete the form online, ensuring clarity and accuracy.

Follow the steps to complete the Mental Capacity Assessment Form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by entering the name of the individual being assessed in the designated Name field. You may also include a hospital label if applicable.
3. Fill in the Location and Date of Birth fields accurately to provide context for the assessment.
4. In the Assessment context section, describe the nature of the decision that is being considered, ensuring it is clear and specific.
5. Determine if there is an impairment affecting the person's mind or brain by selecting Permanent, Temporary, or None, and provide details as necessary.
6. Decide if the decision can be delayed due to likelihood of the person regaining capacity soon. Provide appropriate details.
7. Assess the person's abilities regarding understanding, retaining, using, and communicating information related to the decision. Mark Yes or No for each ability and include any necessary details.
8. If any of the abilities were marked as No, indicate that the individual lacks capacity at this time.
9. Document any steps taken to assist the person in making or being involved in the decision, such as using visual aids.
10. State if there is any advance decision relevant to this assessment. If yes, provide details and indicate whether it is verbal or written.
11. Consider the best interests of the individual, noting any additional factors that were considered during the assessment.
12. Identify if there is a Next of Kin or person who can assist with decision making. If so, provide their name and relationship to the individual.
13. Record whether the person assisting holds Lasting Power of Attorney or enduring Power of Attorney and detail any discussions about the agreed way forward.
14. If there is no person to assist in decision making, indicate that an IMCA referral is necessary.
15. Complete the identification fields for the person filling out the form, including name, role, and the date of referral.
16. Finish by documenting the name and role of the decision maker, including their signature.
17. Once all fields are completed, save your changes, and consider downloading, printing, or sharing the form as needed.

Complete your Mental Capacity Assessment Form online today.