Application for Admission of Mentally ill Person under s. 19 of the Mental Health Act 1987

Application for Admission of Mentally ill Person under s. 19 of the Mental Health Act 1987

To

The Medical Officer-in-Charge

Psychiatric Hospital

Sir

I submit that Sree ………………………., aged …………… years, my nephew has been suffering from mental illness for the last two months and, I have been looking after him as both of his parents are dead. On his behalf, therefore, I request you to admit him as an in-patient in your hospital for his necessary treatment. Medical Certificates from two medical practitioners including one from a medical practitioners in Government service regarding the condition of the patient are enclosed.

Yours faithfully