Doctor'S Release Letter Template Page 2

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IT IS MY OPINION THAT ___________________________________________________
DOES NOT REQUIRE OR NO LONGER REQUIRES “MEDICAL TREATMENT IN A
PROVINCIAL MENTAL HEALTH FACILITY [PSYCHIATRIC UNIT]” NOR DOES HE
[SHE] REQUIRE “CARE, SUPERVISION AND CONTROL IN A PROVINCIAL MENTAL
HEALTH FACILITY [PSYCHIATRIC UNIT] FOR HIS [HER] OWN PROTECTION OR FOR
THE PROTECTION OF OTHERS” UNDER SECTIONS 22, 27, OR 28 OF THE BC MENTAL
HEALTH ACT.
PROTECTION HAS BEEN BROADLY DEFINED AS PROTECTION FROM “HARMS”
INCLUDING “HARMS THAT RELATE TO THE SOCIAL, FAMILY OR THE FINANCIAL
LIFE OF THE PATIENT AS WELL AS TO THE PATIENT’S PHYSICAL CONDITION”
(MCCORKELL v. RIVERVIEW HOSPITAL, 1993, B.C. SUPREME COURT).
_________________________________
________________________
Signature of Doctor
Doctor’s Name (please print)
Date:____________________________
________________________________
__________________________
Signature of Witness
Witness’ Name (please print)
Date:____________________________
 PHYSICIAN REFUSED TO SIGN
Date:_____________________________
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