Mental Health Care Act, 2002 (Act No. 17 of 2002) Regulations General Regulations Annexures Form MHCA 18

 

ANNEXURE

FORM MHCA 18

 

DEPARTMENT OF HEALTH

 

SUMMONS TO APPEAR BEFORE A REVIEW BOARD

(Section 11(2), 29(2)(a) or 35(2)(c) of the Act)

 

 

..........................................................................................

(name of person summoned and his or her address)

 

is hereby summoned to appear at .....................................................(place)

 

on .............................. (date and time) before the Review Board of

 

..........................................................................(name of health establishment)

 

to give evidence in respect of ..................................................................................

 

.................................................................................................................................

 

.................................................................................................................................

 

.................................................................................................................................

 

(if the person summonsed is to produce any book, record, document or any other item(s))and you are hereby directed to produce:

 

..................................................................................................................................

 

..................................................................................................................................

 

...................................................................................................................................

 

...................................................................................................................................

 

(specify the book, record, document or any other item(s) concerned)

 

Given under the hand of the Chairperson of the Review Board, this ..............................day of .........................................................

 

 

Signature: ..........................................................

(Chairperson of Review Board)