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Ministry of Health Form 42 Mental Health Act Notice to Person under Subsection 38. 1 of the Act of Application for Psychiatric Assessment under Section 15 or an Order under Section 32 of the Act Clear Form Part I complete only if appropriate To name of person home address This is to inform you that name of physician examined you on and has made an application for you to date of examination day / month / year have a psychiatric assessment. Part A and/or Part B must be completed Part A That physician has certified that he/she has reasonable cause to believe that you have Check Box es threatened or attempted or are threatening or attempting to cause bodily harm to yourself behaved or are behaving violently towards another person or have caused or are causing another person to fear bodily harm from you or shown or are showing a lack of competence to care for yourself* and that you are suffering from a mental disorder of a nature or quality that likely will result in serious bodily harm to ....

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How to fill out the Form 42 online

This guide provides a clear and supportive approach to filling out Form 42, which relates to psychiatric assessments under the Mental Health Act. Follow the steps carefully to ensure accurate completion of this important document.

Follow the steps to complete Form 42 online

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. In Part I, complete the recipient's name and home address under the 'To:' section. Provide the name of the physician and the date of examination to inform the person about the psychiatric assessment application.
  3. In Part A, check the applicable boxes that describe the reasons for the psychiatric assessment, such as threats of bodily harm to oneself or to others.
  4. Indicate any serious risks associated with the mental disorder by checking the appropriate boxes regarding potential bodily harm or impairment.
  5. Move on to Part B, where the physician certifies the individual’s history of mental health treatment and the current condition. Ensure to check all applicable statements that align with the person's situation.
  6. Include the physician's signature and the date when the assessment was made at the bottom of Part I.
  7. If necessary, proceed to Part II and fill in the name and address similar to Part I and indicate the Minister of Health and Long-Term Care’s reasons for custody in a psychiatric facility.
  8. Review all entered information for accuracy and completeness. Once finalized, save changes to the form, and choose to download, print, or share your completed document.

Complete your Form 42 online today to ensure timely processing of your psychiatric assessment.

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Reasons for Form 43 Denial The claim for compensation was not filed within time. The employer asserts that the injury did not happen at work. The employer requires more time to assess the compensation claim. The injured worker did not undertake medical treatment.

A Form 42 is an application for Appointment of Guardian Ad Litem, a person the court appoints to represent the best interests of a child or someone who is incompetent in a case.

The Form 30C is to be completed and filed by a claimant (employee) or claimant's attorney/representative for making a claim for workers' compensation benefits.

The Form 36 is to be completed by the respondent (employer/workers' compensation insurance carrier) to notify the Workers' Compensation Commissioner, the claimant (employee/decedent), and all parties to the claim of its intention to reduce or discontinue payment of the claimant's workers' compensation benefits.

The Form 42 is to be completed by the examining licensed physician to report a claimant's permanent partial loss or loss of use of a body part, as well as the likely date of the claimant's maximum medical improvement.

The Form 6B is to be completed by an Officer of a Corporation or a Manager of a Limited Liability Company (LLC) who wishes to be excluded from workers' compensation insurance coverage.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232