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Rm is being completed in relation to a request for a standard authorisation. A2 This form is being completed in relation to a review of an existing standard authorisation under Part 8 of Schedule A1 to the Mental Capacity Act 2005. PART B BASIC INFORMATION Name, address and profession of the assessor Name Address Profession Full name of the person being assessed Name Name of the hospital or care home in which the person is, or may become, deprived of their liberty Name Name of the P.

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