List of manitoba mental health act forms

A Message from Dr. Jim Simm , Chief Psychiatrist of Manitoba

The Mental Health Act Forms of Manitoba have recently been made available online. The se forms are for informational purposes only and are not le gally valid.

The Office of the Chief P sychiatrist has received an increasing number of these downloaded forms printed and completed . A s they are not legally valid , they need to be returned, and the proper prescribed forms resubmitted.

This leads to delays in patient care and increased paperwork for physicians , which can lead to confusion among the patients, their families , and staff.

If you require copies of the legally pres cribed forms , please contact the

Chief Psychiatrist's O ffice at 204–788–6676 .

The one exception to this would be in an emergency situation when a F orm 4, A pplication By Physician for Involuntary Psychiatric Assessment , needs to be completed urgently and there is no legal ‘ prescribed ’ form readily available.

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1000 – 1661 Portage Ave, Winnipeg MB R3J 3T7

Phone: (204) 774-4344
Toll Free: (877) 774-4344
Fax: (204) 774-0750
Email: cpsm@cpsm.mb.ca

We acknowledge we are gathered on Treaty 1 Territory and that CPSM regulates the practice of Western medicine on the Treaty Territories of Treaty 1, Treaty 2, Treaty 3, Treaty 4, Treaty 5, and Treaty 5-Adhesion. We recognize these are the ancestral lands of the Anishinaabeg, Anishininewuk, Cree, Oji-Cree, Dakota Oyate, Denesuline and Nehethowuk Nations, and the National Homeland of the Red River Métis.

We acknowledge northern Manitoba includes lands that were and are the ancestral lands of the Inuit.